HomeMy WebLinkAbout807 E 14 StRECEIVED
AUG 12011
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�D•
BY:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: I C) Documented Construction Value: $ 1000
Job Address: ZQ_7 �. /�-� % S'f' Historic District: Yes ❑ No
Parcel ID:
Description of Work:
Plan Review Contact Person:
Zoning:
Phone: 40-) .31!& $A(R Fax: E-mail:
Property Owner Information
Name -3� m c c ��� m a w
Street: 702
City, State Zip: _ -lCo r1 �-1 a2-7'7 I
Name
Title:
Phone: 416 % 13 2 k % (0 (1k
Resident of property? :
Contractor Information
Phone:
Street: Fax:
City, State Zip:
Name:
Street:
City, St, Zip: _
Bonding Company:
Address:
Building Permit O
Square Footage: _
State License No.:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION at ►s c, ..' .� �r�+
.,
..
.,trh fit. .i, •,�taiGB ...,...
Construction Type: No. of Stories:
No. of Dwelling Units: Flood Zone:
Electrical O /50 + V a 0o ASS
New Service — No. o/ f AMPS: 2-00
Mechanical 0 (Duct layout required for new systems)
Plumbing O
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm 0 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.
Si slur` er/Agent u
Print Owner/Agent's Name
,Ek�" , 0 "V
Signature of Notary -State of Florida_ _ _ _ _ jjate
DEBBIE BLANTON
Notary Public • State of Florida
. • My Comm. Expires Feb 25. 2015
N•�?.�,••.Y.
Commission
gNational ot1 B
BonM Through
'•, ors��,, Notary Assn.
Owner7Agenf is - -Personally Known to Me or
Produced ID Type of ID L -O (o OqI l�(
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Rev 11.08
UTILITIES:
FIRE:
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known ito.W or
Produced ID Type of ID I
WASTE WATER:
BUILDING:
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 1 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
for the is hiring licensed
responsible construction and not a 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.
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
have the licenses by law by
employ required and 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. 1, 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
ivy
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
Property Addrq ' R 0
�., r ', f-( 3 277
I, Cl W z S � - SGv r4 • &---' , 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.
of Owner -Builder
Form of Identification
(Must be Photo ID)
Date
S I Z( I Z//"
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
40—
understand that the construction must comply with all applicable laws, ordinances, building codes, and
zoning regulations.
f I
V"
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 Florida
Construction Industry Licensing Board at 1-850487-1395 or at www.mvflorida.com/dbl2r/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.
CA
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 Addrq ' R 0
�., r ', f-( 3 277
I, Cl W z S � - SGv r4 • &---' , 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.
of Owner -Builder
Form of Identification
(Must be Photo ID)
Date
S I Z( I Z//"
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 of 1
PARCEL PE'TAIL.
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PROPERTY
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APPRAISER
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SEMINOLE COUN" FL.
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1101 E. Fltaff76T
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VALUE SUMMARY
VALUES 2011
2010
Workina
Certified
GENERAL
Value Method Cost/Market
Cost/Market
Parcel Id: 31-19-31-505-0000-0710
Number of Buildings 1
1
Owner: SWAIN JAMES A 8
Depreciated Bldg Value $64.736
$74,665
Own/Addr: REDDICK-SWAIN JACQUELINE
Depreciated EXFT Value $0
$0
Mailing Address: 807 E 14TH ST
Land Value (Market) $13.000
$15.000
City,State,ZlpCode: SANFORD FL 32771
Land Value Ag $0
$0
Property Address: 807 14TH ST E SANFORD 32771
JustlMarket Value $77,736
$89.665
Subdivision Name: SAN LANTA 3RD SEC
Portablity Ad) I $0
$0
Tax District: St-SANFORD
Save Our Homes Adj $1,0
$14,156
Exemptions: 00-HOMESTEAD(1994)
Amendment 1 AdJ $0
$0
$0
Dor: 01 -SINGLE FAMILY
Assessed Value (SOH) $76.642
$75.509
Tax Estimator
Portability Calculator
2011 TAXABLE VALUE WORKING ESTIMATE
Taxing Authority
Assessment Value Exempt Values Taxable Value
County General Fund
$76.642 $55,000
$21,642
(Amendment f adjustment is not applicable to school assessment) Schools
$76.642 $30,000
$46,642
City Sanford
$76,642 $55.000
$21,642
SJWM(Saint Johns Water Management)
$76,642 $55.000
$21,642
County Bonds
1 $76,6421 $55,0001
$21,642
Potential Portability Amount is
$1.094
The taxable values and taxes are calculated using the current years working values and the prior years approved mlllage rates.
SALES
2010 VALUE SUMMARY
Deed Date Book Page Amount Vac/Imp Qualified
Tax Amount (without SOH): $891
QUIT CLAIM DEED 02/2006 06f 67 2W $100 Improved No
2010 Tax Bill Amount:
$607
QUIT CLAIM DEED 07/2002 04472 17888 $100 Improved No
Save Our Homes ISOH/ Savinas:
$284
WARRANTY DEED 11/1991 02353 11131 $59.000 Improved Yes
2010 Certified Taxable Value and Taxes
Find Com arable Sales within this Subdivision
DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS
LAND
LEGAL DESCRIPTION
Land Assess Method Frontage Depth Land Units Unit Price Land Value
PLATS: Pick... 'L •�
LOT 0 0 1.000 13.000.00 $13.000
LEG LOT 71 SAN LANTA 3RD SEC PB 13 PG 75
BUILDING INFORMATION
Bid Num Bid Type Year Bit Fixtures Base SF Gross SF
Living SF Ext Wall Bid Value
Est. Cost
New
Buildin 1 SINGLE FAMILY 1972 6 1,050 1,976
Sketch
1,708 BRICK•WOOD COMBO $64,736
$80,168
Appendage / Scift OPEN PORCH FINISHED/ 152
Appendage / Sgft OPEN PORCH FINISHED/ 12
Appendage / Sgft BASE SEMI FINISHED 1275
Appendage / Sgft UTILITY UNFINISHED / 104
Appendage / Sgft BASE SEMI FINISHED / 383
NOTE: Appendage Codes included in living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished, Base
Semi Finshed
OTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax purposes.
"' Ifyou recently purchased a homesteaded property your next yeaes property tax will be based on JusVMarket value.
http://www.scpafl.orglweb/re web.seminole county_title?parcel=31193150500000710&cp... 8/1/2011