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µ D CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: 1 0 " I q S Documented Construction Value: $ 74 S D U Job Address: 2-q & Z o 9-s Do -,y e, Historic District: Yes No Parcel ID: I Z- 2-0 30 , 5-0 3 --D 2-- © 0 - c, Ce 2) Zoning: Description of Work: /< o0 ,1- f, 3so a1,5 /Vi vv._t 1--r4 „e / Z" Plan Review Contact Person: _ Ke -7 PG S r'Q Title: j' ecf Phone: Fax: 02' E 2:-k 31A E-mail: G e - sem L Property Owner Information i, S>l / 7 Name Name a^ a ^ 7 /l T171 Phone: Street: 2 lZo Se 01-e'vc Resident of property? : :' eS City, State Zip:S - f a c, Ir-& 3 Z -7 `1 3 l Contractor Information Name Phone: Street: Fax: City, State Zip: State License No.: Architect/Engineer Information Name: <!1 e j S Uf r S - 1 ! .1 G . Phone: 2 - Z 72 r / Street: Z ? Gl &_W#e;1,G O`- IV 2 - Fax: Z - 2 city St Zip:>r/- v 'G. 3 2 !JE -mail: E- mail. Bonding Company: !`K 1A Address: Building Permit ff- Square Footage: Z S o No. of Dwelling Units: Electrical New Service - No. of AMPS: Mortgage Lender: tW A Address: PERMIT INFORMATION Construction Type: o, - No. of Stories: Flood Zone: Plumbing New Construction - No. of Fixtures: Mechanical 0 (Duct layout required for new systems) Fire Sprinkler/Alarm 0 No. of 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. 6-- - I -,-P Signature of weer/Agent Date Pr;nr Lief —/A „A. P iv o 4 Notary Poot;c S!3t8 ut Horida Patricia *4d414 My corrvr ii)o2stt Expires vo.. v/2o t r Owner/Agent is V Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING:m 6-x-1 6 UTILITIES: ENGINEERING: COMMENTS: Rev 11.08 FIRE: 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: ra FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Compliance with Method 8 of Chapter 11 of the Florida Buildiinp Code, RaMenha( or Subchapter 13-6 of the Florida Building Cady. Buddha may be demonstrated by the use of form 11008 for single -and murdple-family residences of three stories or teas in height, and additions to existing residential buildings. To comply, a budding must meet or exceed all of the energy efficiency requirements on Table 11 B-1 and a8 applicable mandatory requirements summarized in Table 118-2 of this form, If a building does not rmmnw vrith thio rrwthnd N may still rand under Method A of Charter 11 or Subehanter 13-6 of the aoolicable cods. 1. New construction including additions which incorporate any of the following features cannot comply using this Method: steel stud waft, single assembly root0wiling construction, or skylights or other nonvertical roof glass. 2. Flt in all the applicable spaces of the 'To Be InstalW column on "Table 118-1 with the information requested. W "To Be Installed' values must be equal to or more efficient than the required levels. 3. Complete papa 1 based on the 'To Be Installed' column information. 4. Read 'Minimum Requirements for All Packages", Table 118-2 and check each box to indicate your intent to corn* with of applicable items. 5. Read, sign and date the "Prepared By' certification statement at the bottom of page 1. The owner or ownees agent must also sign and date the form. 1. Now conatvctlon or addition 2. Singledannity detached or rnuMptedamily attached 3. N mWilphkamey m of uNte covered by this submission 4. Is this a worst case? (yes/no) S. Conditioned floor area (sq. fl.) S. Giants type and ares L U -factor b. SHGC c. Glass area 7. Percentage of glass to floor area 8. Floor type, eros or ped.noter, and inwit tion: a. Slab -on -grade (R -value) b. Wood, raised (R -value) c. Wood, common (R-vahm) d. Concrete, raised (R -value) e. Concrete, common (R -value) 9. Wall type, area and Initiation: a. Ederlor: 1. Masonry (Insulation R -value) 2. Wood frame (Insulation R -value) IL Adjacent: 1. Masonry (Insulation R -value) 2. Wood frame (Insulation R -value) 10. Cs81ng type, area and Insulation: a. Under attic (Insulation R -value) b. Single assembly (Insulation R -value) 11. Air dlstributlon system: Duct Insulation, location Test report required if duct in unconditioned space 12. Cooling system: Types: central, room unit, package terminal A.C., gas, none) 13. Heating system: types: heat pump, elec. strip, nat. gas, LP -Gas, gas h.p., room or PTHC, none) 14. Programmable thermostet installed on HVAC systems: 1S. Hot water system: Types: elec.. nat. gas. LP -gas, solar. heat roe., ded. heat pump. other, none) Plsae Print: CK 8s.Ra © _' Jam,% gn.ft- 8b. Ra sq.ft. 8c. R. sq.fL 8d Ra sq. R. Be. Rze sq.ft. go -I. Rn , & 3(.5.6 q.ft. 94-L R. sq.fc 9M1. Ra sq.fL 9b-2. R= sq.ft. 18s. Ra -36_ sq.ft. :3 C -d 10b. R= sq.ft. 11s. Ra L4 UiimM 11 b.Test report aueched? Yes No 12L Type: ['b 4t 12b. SEERIEER: 120. Capacity: 13s. Type 14 041t` 13b. HSPF/COP/AFUE: 130. CMPWW. 14. Yes ISs. Type: 1 Sb. EF: N I hereby Ceitiy alit the plans and apecdications covered by the rakuittion ate in compiimce with Review of plans and spaeNlatlans CvWW by tMe nkutalbn Wketes Compaana weh the Florida the Florida EwV Code. Energy Code. Before eomuutlon is compka4 this buddhq wd be inspected for compaana in accordance with Secibn 5M.908. F.S. PREPARE BY_ OATE: BUILDING OFFICIAL, I hereby CO" mei this budoaq IS m compmnce with the Florda Energy Code: OWNER AGENT: DATE: DATE: 2007 FLORIDA BUILDING CODE -BUILDING 134D.23 Effective 3/1/2009 s G`l•`"r „ sir 1. New construction including additions which incorporate any of the following features cannot comply using this Method: steel stud waft, single assembly root0wiling construction, or skylights or other nonvertical roof glass. 2. Flt in all the applicable spaces of the 'To Be InstalW column on "Table 118-1 with the information requested. W "To Be Installed' values must be equal to or more efficient than the required levels. 3. Complete papa 1 based on the 'To Be Installed' column information. 4. Read 'Minimum Requirements for All Packages", Table 118-2 and check each box to indicate your intent to corn* with of applicable items. 5. Read, sign and date the "Prepared By' certification statement at the bottom of page 1. The owner or ownees agent must also sign and date the form. 1. Now conatvctlon or addition 2. Singledannity detached or rnuMptedamily attached 3. N mWilphkamey m of uNte covered by this submission 4. Is this a worst case? (yes/no) S. Conditioned floor area (sq. fl.) S. Giants type and ares L U -factor b. SHGC c. Glass area 7. Percentage of glass to floor area 8. Floor type, eros or ped.noter, and inwit tion: a. Slab -on -grade (R -value) b. Wood, raised (R -value) c. Wood, common (R-vahm) d. Concrete, raised (R -value) e. Concrete, common (R -value) 9. Wall type, area and Initiation: a. Ederlor: 1. Masonry (Insulation R -value) 2. Wood frame (Insulation R -value) IL Adjacent: 1. Masonry (Insulation R -value) 2. Wood frame (Insulation R -value) 10. Cs81ng type, area and Insulation: a. Under attic (Insulation R -value) b. Single assembly (Insulation R -value) 11. Air dlstributlon system: Duct Insulation, location Test report required if duct in unconditioned space 12. Cooling system: Types: central, room unit, package terminal A.C., gas, none) 13. Heating system: types: heat pump, elec. strip, nat. gas, LP -Gas, gas h.p., room or PTHC, none) 14. Programmable thermostet installed on HVAC systems: 1S. Hot water system: Types: elec.. nat. gas. LP -gas, solar. heat roe., ded. heat pump. other, none) Plsae Print: CK 8s.Ra © _' Jam,% gn.ft- 8b. Ra sq.ft. 8c. R. sq.fL 8d Ra sq. R. Be. Rze sq.ft. go -I. Rn , & 3(.5.6 q.ft. 94-L R. sq.fc 9M1. Ra sq.fL 9b-2. R= sq.ft. 18s. Ra -36_ sq.ft. :3 C -d 10b. R= sq.ft. 11s. Ra L4 UiimM 11 b.Test report aueched? Yes No 12L Type: ['b 4t 12b. SEERIEER: 120. Capacity: 13s. Type 14 041t` 13b. HSPF/COP/AFUE: 130. CMPWW. 14. Yes ISs. Type: 1 Sb. EF: N I hereby Ceitiy alit the plans and apecdications covered by the rakuittion ate in compiimce with Review of plans and spaeNlatlans CvWW by tMe nkutalbn Wketes Compaana weh the Florida the Florida EwV Code. Energy Code. Before eomuutlon is compka4 this buddhq wd be inspected for compaana in accordance with Secibn 5M.908. F.S. PREPARE BY_ OATE: BUILDING OFFICIAL, I hereby CO" mei this budoaq IS m compmnce with the Florda Energy Code: OWNER AGENT: DATE: DATE: 2007 FLORIDA BUILDING CODE -BUILDING 134D.23 Effective 3/1/2009 FORM 11008-08 TABLE 1113-1 MINIMUM REQUIREMENTS (See Note 1) All Climate Zones BUILDING COMPONENT PERFORMANCE CRITERIA INSTALLED VALUES: Windows (see Note 2): U -factor = 0.65 U -factor- S Exterior joints & cracks SHGC = 0. 35 SHGC= " S Exterior windows & doors CFA — 16% of CFA= n Exterior door type Wood or insulated T U4 - Walls - Ext. and Adj. (See Note 3): N1106.AB.1.2.4 Type IC rated with no penetrations (two alternatives allowed Frame R-13 R -value = Mass N1106.AB.1.3 Exhaust fans vented to unconditioned space shall have dampers, except for combustion devices with integral exhaust ductwork. Interior of wall: R-6 R -value = Exterior of wall: R4 R -value = Ceilings (see Notes 3& 4) R-30 R -value = c7 Floors: N1112.AB.2.4 Water flow must be restricted to no more than 2.5 gallons per minute at 80 Slab -on -grade No requirement All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed, insulated and installed in accordance with the criteria of Section 11 N1110.AB. Duds in attics must be insulated to a minimum of R-6. Over unconditioned spaces see Note 3 R-13 R -value = Hot water systems (storage type) Electric (see Note 5): 40 gal: EF = 0.92 Gallons = 50 gal: EF = 0.90 EF = Gas fired (see Note 6): 40 gal: EF = 0.59 Gallons = 50 al: EF = 0.58 EF = Air conditioning systems see Note 7 SEER = 13.0 SEER = Heat pump systems (see Note 8) SEER = 13.0 HSPF = 7.7 SEER = HSPF = Gas furnaces AFUE = 78% AFUE = Oil furnaces AFUE = 78% AFUE = thermostat Must be installed on all HVAC systems Installed? Yes NoProgrammable Ductwork (see Note 9) Location: Unconditioned spacee R-6, Tested Unconditioned space R -value= 12-6 Test report: Conditioned space NA Conditioned space Unvented attic assembly per R806.4 with R-42 R -value = insulation at the roof plane No test report required) Air Handler location: Location: Unconditioned attic' or garage Requires test report Test report: Conditioned space or r C'' AUnventedatticassembtyperR806.4 with No duct test required insulation at the roof plane 1) Each component present in the As -Built home must meet or exceed each of the applicable performance criteria in order to comply with this code using this method; otherwise Method A compliance must be used. 2) Windows and doors qualifying as glazed fenestration areas must comply with both the maximum U -Factor and the maximum SHGC (Solar Heat Gain Coefficient) criteria and have a maximum total window area equal to or less than 16 % of the conditioned floor area (CFA), otherwise Method A must be used for compliance. Exception: Additions of 600 square feet (56 mZ) or less may have maximum CFA of 50 percent. 3) R -Values are for insulation material only as applied in accordance with manufacturers' installation instructions. For mass walls, the interior (Int) requirement must be met unless at least 50% of the insulation value is on the exterior (Ext) or integral to the wall. 4) Attic knee walls shall be insulated to same level as ceilings and shall have a positive means of maintaining insulation in place. Such means may include rigid insulation board or air barrier sheet materials adequately fastened to the attic sides of knee wall framing materials. 5) For other electric storage volumes, minimum EF = 0.97 - (0.00132 ' volume) 6) For other natural gas storage volumes, minimum EF = 0.67 - (0.0019' volume) 7) For all conventional units with capacities greater than 30,000 Btuthr. For Small -Duct, High -Velocity units, Space Constrained units, and units with capacities less than 30,000 Btu/hr see Table 13-607.AB.3.2A of the Florida Building Code, Building, or Table N1107.AB.3.2A of the FBG Residential. 8) For all conventional units with capacities greater than 30,000 Btu/hr. For Small -Duct, High -Velocity units, Space Constrained units, and units with capacities less than 30,000 Btufhr see Table 13-607.AB.3.2B of the Florida Building Code, Building, or Table N1107.AB.3.2B of the FBC-Residential. 9) All ducts and air handlers shall be either located in conditioned space or tested by a Class 1 BERS rater to be "substantially" leak free. Substantially leak free" shall mean distribution system air leakage to outdoors no greater than 3 cfm per 100 square feet of conditioned floor area at a pressure differential of 25 Pascal (0.10 in. w.c.) across the entire air distribution system, including the manufacturer's air handler enclosure. TABLE 11B-2 MINIMUM REQUIREMENTS FOR ALL PACKAGES COMPONENTS SECTION REQUIREMENTS CHECK Exterior joints & cracks N1106.AB.1.2 To be caulked, gasketed, weather-stripped or otherwise sealed. Exterior windows & doors N1106.AB.1.1 Max. 0.3 chn/s .ft. window area; 0.5 cfnVs .ft. door area. Sole & top plates N1106.AB.2.1 Sole plates and penetrations through top plates of exterior walls must be sealed. Recessed lighting N1106.AB.1.2.4 Type IC rated with no penetrations (two alternatives allowed Multistory houses N1106.AB.1.2.5 Air barrier on perimeter of floor cavity between floors. Exhaust fans N1106.AB.1.3 Exhaust fans vented to unconditioned space shall have dampers, except for combustion devices with integral exhaust ductwork. Water heaters N1112.AB.3 Comply with efficiency requirements in Table N1 112.AB.3. Switch or clearly marked circuit breaker electric or cutoff (gas) must be provided. External or built-in heat trap required for vertical pipe risers. Swimming pools & spas N1112.AB.2.3.4 Spas & heated pools must have covers (except solar heated). Noncommercial pools must have a pump timer. Gas spa & pool heaters must have minimum thermal efficiency of 78%. Heat pump pool heaters shall have a minimum COP of 4.0. Hot water pipes N1112.AB.5 Insulation is required for hot water circulating systems(including heat recovery units). Shower heads N1112.AB.2.4 Water flow must be restricted to no more than 2.5 gallons per minute at 80 HVAC duct construction, insulation & installation N1110.AB All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed, insulated and installed in accordance with the criteria of Section 11 N1110.AB. Duds in attics must be insulated to a minimum of R-6. HVAC controls N1107.AB.2 I Separate readily accessible manual or automatic thermostat for each system. 13-D.24 2007 FLORIDA BUILDING CODE -BUILDING P8,t-177-11 City of Sanford Planning and Development Services Engineering — Floodplain Management Flood Zone Determination Request Form Name: L e n,r y 1'0.'C'rs Firm: C)esi.. Address: 6'739/l= 6R . N -L S 5 (-3 City: d, aY"A'o State: l_ Zip Code: 328 ttJ Phone: qo'T •3't •83Z3 Fax: -/o -7•S32 .834Email: ; n .c Property Address: 9 -Zo Property Owner: Parcel identification Number: 2 -'Lo- 30 oz OD -<)19O Phone Number: 4o-7• ZS-?• 9'Z? -3 Email: The reason for the flood plain determination is: New structure Existing Structure (pre -2007 FIRM adoption) X Expansion/Addition Existing Structure (post 2007 FIRM adoption) Pre 2007 FIRM adoption = finished floor elevation 12" above BFE Post 2007 FIRM adoption = finished floor elevation 24" above BFE (Ordinance 4076) 11 !!1 11'1 ININEESHEMFFICIALUS'E ®NLY Flood Zone: X Base Flood Elevation: N ZA Datum: FIRM Panel Number: (?-c)?-c1--1 op zp F- Map Date: R Lie, &r The referenced Flood Insurance Rate Map indicates the following: The parcel is in the: floodplain floodway A portion of the parcel is in the: floodplain floodway The parcel is not in the: N floodplain floodway The structure is in the: floodplain floodway The structure is not in the: floodplain floodway If the subject property is determined to be flood zone `A', the best available information used to determine the base flood elevation is: Reviewed Date: 6/s A 6 T:\Engr-Files\Elevation Certificate\Flood Zone Determination Request Form.doc A.-,-- to 7,w E DR , 4 CAURE3nL-W-jj r—F-2JTqPINECRFSTPARK DR CT ZONEAH >- ROSS, T EL 34 own f- AIRPORT BLVD Seminole CoulityIWITOFDETAILEDSTUDYVIQF Unincorporated Area''%' tzl 120289 KRiof"-R R D 32, C3 IF 0 SS 'T Unincorporated 14-;( st I tANORA 32C r. R", j EELLCT SIL itv (it, s.'I n fo rd 0 R 120294 ZONE 11 E RnN CORNWALL p 031ZONEAE 7 L R M KELLY rn JONES AVE u C----) rn Niv tIijv (nwl, Irilmhu-I, 2,' RIEDER AVE rn I J, f' LAKEv,4ANSOM, PKWY Ell dkAfvosfanfitv9L 110294 I W toly. act290tvS1 < r ii V) HIGH IWAY r / A-- l MAP SCALE I"=1000' sm 0 m 1.000 1,500 2,000FEF7 PANEL 0070F I m1k FLOOD INSURANCE RATE MAP SFMINOLE COUNTY, FLORIDA AND INCORPORATED AREAS PANEL 70 OF 330 SEE MAP INDEX FOR FIRM PANEL LAYOUT) CONTAW r.Q!6wNJr'Ly Mumm!t nwm IAKF f/tRV '1- 170414 MID F GAVORD Cly I Or 1202W MID r ml— F ;am MID p rvc - w — vw No %wow enu — —i b Lm» titian pi-rg C--,." auto v— — Wu.— M' — --1 MAP NUMBER 12117CO07OF MAP REVISED SEPTEMBER 28, 2007 Federal Lmergenry NlanagementAt!rne) Tt" Kan offiv a copy of apt,— of the b.- relareaced Mood -.P. It waa eatractea —mu r _m IT Om -L— T%* mop docs not f6fadt Changm w W—k"onts wt—h may l—e been made a.b eyuera 10 the date an the tine block far the It—f prdact irYormation about National Flood 1-1— tmgra- Acca maps check the FEMA 91-0 Map Stole at vwnvmcc.toma QOV Seminole County Property Appraiser Get Information by Parcel Number Page 1 of I FAM .9& 1?N2' M e N. DAvW JOHN CFA, ASA I, i PROPERTY A`PP13AI5ER ET7INOLEOOUNTY FL t~ 3' 1No t I IEfl2, s00ct BAN(-ORD05iD FL 32771-7468 r407-66W7506 VALUE SUMMARY VALUES 2010 2009 GENERAL Working Certified Value Method Cost/Market Cost/Market Parcel Id: 12-20-30-503-0200-0190 Number of Buildings 1 1Owner: TANNER SAMANTHA Depreciated Bldg Value $78,106 102,112MailingAddress: 296 ROSE DR Depreciated EXFT Value $675 713City,State,ZipCode: SANFORD FL 32773 Land Value (Market) $14,560 20,384PropertyAddress: 296 ROSE DR Land Value Ag $0 0SubdivisionName: FLORA HEIGHTS Just/Market Value $93,341 123,209TaxDistrict: S1-SANFORD Exemptions: 00 -HOMESTEAD (2004) Portablity Adj 1 $0 0 Dor: 01 -SINGLE FAMILY Save Our Homes Adj $0 20,302 Assessed Value (SOH) $93,3411 102,907 Tax Estimator 2010 TAXABLE VALUE WORKING ESTIMATE Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 93,341 $50,000 43,341 Schools 93,341 $25,000 68,341 City Sanford 93,341 $50,000 43,341 SJWM(Saint Johns Water Management) 93,341 $50,000 43,341 County Bondsl 93,3411 $50,0001 43,341 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 Vacllmp Qualified 2009 VALUE SUMMARY WARRANTY DEED 08/2003 05030 1574 $110,000 Improved Yes Tax Amount (without SOH): 1,621 CERTIFICATE OF TITLE 04/1995 02902 1307 $1,000 Improved No 2009 Tax Bill Amount: 1,225 WARRANTY DEED 03/1989 02060 1300 $65,500 Improved Yes Save Our Homes (SOH) Savings: 396 WARRANTY DEED 09/1987 01890 0273 $18,000 Vacant Yes 2009 Certified Taxable Value and Taxes WARRANTY DEED 05/1981 01337 0403 $7,500 Vacant Yes DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS Find Comparable Sales within this Subdivision LEGAL DESCRIPTION LAND Land Assess Method Frontage Depth Land Units Unit Price Land Value PLATS:' Pick... Q' FRONT FOOT & DEPTH 80 120 .000 200.00 $14,560 LEG E 80 FT OF LOTS 19 & 20 BLK 2 FLORA HEIGHTS PB 3 PG 19 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 1989 6 1,226 1,786 Sketch 1,226 EW CONCRETE BLOCK $78,106 84,898 Appendage / Sgft OPEN PORCH FINISHED / 184 Appendage I Sgft OPEN PORCH FINISHED / 16 Appendage I Sgft GARAGE FINISHED / 360 NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished, Base Semi Finshed Permits EXTRA FEATURE Description Year Bit Units EXFT Value Est. Cost New FIREPLACE 1988 1 $675 $1,500 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. http://www.scpafl.orglweb/re web.seminole_county_title?parcel=12203050302000190&cp... 8/2/2010 A li. i 11 .'r - m I O N m I(' ADDRESS: 296 ROSE DRIVE, SANFORD, FLORIDA OFFICE 1 N E 80' OF LOTS 19 do 20 BLK 2 FLORA HTS PLATBK 3, PG 19, PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA ROSE DRIVE Q N N0 A0 T I L. N E 80' OF LOTS 19 do 20 BLK 2 FLORA HTS PLATBK 3, PG 19, PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA ROSE DRIVE Q N N0 A0 CITY OF SMPOHD - BUILVINF :`ii?- REVIEW PLANNING A,400 DEVELOHAFAR'. APPROVE'.'. Me P.on ADDRESS: 296 ROSE DRIVE, SANFORD, FLORIDA E 80' OF LOTS 19 & 20 BLK 2 FLORA HTS PLATBK 3, PG 19, PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA ROSE DRIVE ruO Permit No. Tax Folio No. Z - Zp 36 3' b Z•b 'Di Qo 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 of Commencement. 111111Melia MARYANNE WIRSEt CLERK OF CIRWI f UAIRT SEM WJLE 0JJNW 8K 0'14P3 IN 10SII Qpq) CLERhIIS # 21011W89076 RECORDED 08/Q/2010 01%1104 PH RECURD I NQ FESS 10.00 RECOPJkD BY J Eekenroth(all) 1. Description of property: (legal description of the property, and street address if available) 2. General description of imps 3. Owner information: Name: Address: u . 1 + b. Interest in property: c. Name and address of fee simple titleholder (if other than Owner) Address: 4. Contractor Name:.t- c. Address: Surety Name Address: Amount of bond: $ Name: Phone number: 6. Lender: Name: Address: _ b. Lender's phone number: 7.a. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: Name: Address: 8.a. In addition to himself or herself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(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 ATTORt BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COM'MENCEMERT. -DI I of Owner or Owner's Authorized 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, attornoVjglf 116%, ( name of party on behalf of whom instrument was executed) 77. Signature of Notary Public a, V&, J . Personally Known OIf-PAc`ii Type of Identification Produced r v>-.%•, ore ,..__. Pn y Verification pursuant to Section 9—! r:;ji State -Under penalties of perjury, I declare that I have read th 3 19t9Pthat th f is stat i i re fru the beSC% }'lcrtti I' ° and belief MARY.ANNE MORSE fe rrtttlln„ o%. - CLERK OF CIRCUIT COURT tgnature of Natural Per Si mg Above SEM1mOLE COUNTY, FLORIDA Rev. date 3/2008 n 1GF 2010 1111111114:: Altamonte -Springs, Casselberry, Lalve 1 ,,,y, 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 1, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a41 r' 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 in his or her name instead of my own name. 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. CAI 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 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 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 I am of aware of construction practices and I have access to the Florida Building Codes. 1 understand that I may obtain more information regarding my obligations as an employer trom 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.mytlorida.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 Address: 2,41Z I a6% y-)+ord / (--L 3a_- 421 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 saeciffe&above. /1 of Owner -Builder Date 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. Rev. 9.14.2009 1 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: S Documented Construction Value: $ Job Address: 2 r-s Historic District: Yes No Parcel ID: l Z' Zo - 3y , SU 3 —v 2-- O m -. c:;, (y a Zoning: Description of Work: /ZOan S5o /3//,- w, c i<,o r Plan Review Contact Person: en^ G C1 Title: IecIV14 r L , r— Phone: `d 1 ' S 32- £s 3 -2-3 Fax: E-mail: Property Owner Information ' "Soles 'r'0l7 " NameJ ci„ti TO- -e-Phone:e-e1<z, 2- _ 4 e ` Street: 2 go Se /jar vc Resident of property:: City, State Zip: Sin /o c/ G 3 Z -7-1 3 Contractor Information Name Street: City, State Zip: Phone: Fax: State License No.: Architect/Engineer Information 1/ Name:de'' Sd U S I l 1''4,1-. Phone: 4 (91 _ G 2 " 2 _-72IStreet: 6 Z 3 % G,J I/V n- 121-- A/'2-3/3, Fax: 4-0-)' " Z - 9 24 - City, St, Zip: E-mail: Bonding Company: /Y /6 Address: Mortgage Lender: - _ W'A Address - PERMIT INFORMATION Building Permit 0'- S uare Foota e: S a9g Construction Type: rG.e v No.. of Stories: No. of Dwelling Units: Flood Zone: Electrical New Service - No. of AMPS: Mechanical (Duct layout required for new systems) Plumbing New Construction - No. of Fixtures: Fire Sprinkler/Alarm 11 No. of heads: 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. C____ 8 Z- Signature of weer/Agent Date P aCaAg-f l fYlBlid>''' "''• '' 'r Notary Pock Stale ut il0rida Pefta 4664$4 a Mycw"i 0702511 Explroe uo...,jJ1011 Owner/Agent is %Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: COMMENTS: Rev 11.08 UTILITIES: ENGINE FIRE: 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: