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Home My WebLink About1006 S Palmettu Ave11AM lw 1.TIRWO14 W WWWRIMIN1111"W 11111111 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: A _ A7 a Documented Construction Value: Job Address: F'r 61 ]'j U 1/L= Historic District: Yes10 No Parcel ID: Low 13G/! jz- r-+1 2 M ) P1,. t"q Residentialp Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: Plan Review Contact Person: To,b4gl) ptii si,z L Title: 04GV Phone: 7?-7 3cl1- coo /,q Fax: 928 431- 3o`:arl Email: )frP Go y7'/fl c?o,(c Nc yNTcC Property Owner Information Name n lglu Phone: Z 9) 3 %/-6" r Street: _p0 134X 2-2<-3 Resident of property? City, State Zip: Sf}-v D,U F 1-77 1 Contractor Information Name Phone: Street: Fax: City, State Zip: State License No.: Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company:Mortgage Lender: Address: 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 OFCOMMENCEMENT. 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, he ters, tanks, and air conditioners, etc. FBC 105.3 Shall be insi ribed with the date of application and the code in effect as of that date: Sth 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 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. 5 Signat o Owner/Agent Date Print Owner/Agent's Name ignature o (ii to of Flor ftWE BLANTON e MY COMMISSION # FF 178648 EXPIRES: February 25. 2019 A d Bonded Thru Noteq Public UndenlMers Owner/Agent is Personally Known to Me or Produced ID Type of ID v 00 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 BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas Roof Construction Type: Occupancy Use: Total Sq Ft of Bldg: 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 lII1kVr TR owlfill V1 I IJYu,i 1 MYWW'll l i 04 0 0 0 a 1 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 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 WV11- 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 and contracts. permit 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 SP 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. MyAThomeowner'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 US 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 41r understand that the construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. 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 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 f 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: I, 7DhzllJ )9- ( L , 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. er-Builder 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 un re u r A A If I lillyl l.N,I IJMMt1 IMI SCPA Parcel View: 25-19-30-5AG-1202-0040 Page 1 of 2 DavrdJohnson. CFA Property Record Card PROPERTY Parcel:25-19-30-5AG-1202-0040 APP" HER Owner: GIESBRECHT TONI L & JAYE SEMINOLEOOUNTY. FLORIDA Property Address: 1006 PALMETTO AVE SANFORD, FL 32771 Parcel: 25-19-30-5AG-1202-0040 Property Address: 1006 PALMETTO AVE Owner: GIESBRECHT TONI L & JAYE Mailing: PO BOX 2243 SANFORD, FL 32772 Subdivision Name: SANFORD TOWN OF Tax District: Sl-SANFORD Exemptions: DOR Use Code: 0102-SINGLE FAMILY - SANFORD HISTORICAL DISTRICT Value Summary 2016 Working Values 2015 Certified Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value 93,698 90,806 Depreciated EXFT Value 938 950 Land Value (Market) 13,500 13,500 Land Value Ag Just/ Market Value 108, 136 105,256 Portability Adj Save Our Homes Adj 0 0 Amendment 1 Adj 0 0 Assessed Value 108,136 105,256 Tax Amount without SOH: $2,142.10 2015 Tax Bill Amount $2,142.10 Tax Estimator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 4 BILK 12 TR 2 TOWN OF SANFORD PB 1 PG 59 Taxes Sales Find Comparable Sales within this Subdivision Land Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 108,136 0 108,136 Schools 108,136 0 108,136 City Sanford 108,136 0 108,136 S] WM(Salnt Johns Water Management) 308,136 0 108,136 County Bonds 108,136 0 108,136 Description Date Book Page Amount Qualified Vac/Imp QUIT CLAIM DEED 8/1/2003 04973 1094 100 No Improved WARRANTY DEED 6/1/2002 04440 0435 130,500 Yes Improved WARRANTY DEED 5/1/1997 03243 0436 55,000 Yes Improved QUIT CLAIM DEED 1/1/1997 03184 0066 300 No Improved WARRANTY DEED 11/1/1996 03163 1670 45,000 Yes Improved WARRANTY DEED 5/1/1987 01848 1466 29,500 No Improved WARRANTY DEED 11/1/1986 01787 0246 27,000 Yes Improved WARRANTY DEED 11/1/1986 01811 1637 100 No Improved Method Frontage Depth Units Units Price Land Value FRONT FOOT &DEPTH 50 117 0 270.00 13,500 http:// www. scpafl.org/ParcelDetailInfo.aspx?PID=2519305AG 12020040 1/4/2016 SCPA Parcel View: 25-19-30-5AG-1202-0040 Page 2 of 2 http://www.scpafl.org/ParcelDetailInfo.aspx?PID=2519305AG12020040 1/4/2016 Prepared by and Return To: Angelique Davis Fidelity National Title of Florida, Inc. 1460 E Red Bug Rd, Suite 1050 Oviedo, FL 32765 Order No.: 91-15-1048a Total Consideration: $156,650.00 APN/Parcel I D(s): 25-19-30-5AG-1202-0040 WARRANTY DEED THIS WARRANTY DEED dated December 23, 2015, by Toni L. Giesbrecht and Jaye Giesbrecht, wife and husband, as joint tenants with right of survivorship, hereinafter called the grantor, to John A. Marshall Living Trust dated February 14, 2000, whose post office address is 1006 Palmetto Ave, Sanford, FL 32771, hereinafter called the grantee: Wherever used herein the terms "grantor" and "grantee" include all the parties to this instrument and the heirs, legal representatives and assigns of individuals, and the successors and assigns of corporations) WITNESSETH: That the grantor, for and inconsideration of the sum of Ten And No/100 Dollars ($10.00) and other valuable consideration, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys, and confirms unto the grantee, all the certain land situated in City of Sanford, County of Seminole, State of Florida, to wit: Lot 4, Block 12, Tier 2, Florida Land and Colonization Company Limited E.R. Traffords Map of the Town of Sanford, according to the map or plat thereof, as recorded in Plat Book 1, Page(s) 56 through 64, inclusive, of the Public Records of Seminole County, Florida. Subject to easements, restrictions, reservations and limitations of record, if any. TOGETHER with all the tenements, hereditaments and appurtenances thereto belonging or in any wise appertaining. TO HAVE AND TO HOLD the same in Fee Simple forever. AND the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances, except taxes accruing subsequent to December 31, 2015. Deed (Warranty - Indiv. to Indiv.) FLD1121.doc / Updated: 05.21.14 Page 1 FL-FT-FMOC-02325.179191-91-15-1048a WARRANTY DEED continued) IN WITNESS WHEREOF, the undersigned have executed this document on the date(s) set forth below. Signed, Sealed and Delivered in the presence of: itnesstSignature Print Name W7ittness Signature Print Name State of Toni L. Giesbrecht Jaye tt s "r cht Address: , C t3Cy County of Se'yKl I , tr kL The foregoi q instrument was acknowledged before me this day of rf Imo-' by ! (^r' a nvY =1c ye 1,SG ic c1, , to me known to be the person(s) described in or who has/have produced iJL6 rxac hf- \-' as identification and who executed the foregoing instrument and he/she/they acknowledged that fi /she/they executed the same. Witness my hand and official seal in the County and State last aforesaid this day of l"'Cc_dvtl,k. t 20_1. NOTARY PUBLI ••pYP j• ASHLE', SCIPIONI 4. 9` : Notary Public - state of FloridaMCommissionExpires: 2018yp =• • ' •= My Comm. Expires Sep 25. Commission # FF 127736yF/°ii it°• Deed (Warranty- Indiv. to Indiv.) FLD1121.doc / Updated: 05.21.14 Page 2 FL-FT-FMOC-02325.179191-91-15-1048a Fidelity National Title of Florida, Inc. 0 1460 E Red Bug Rd, Suite 1050, Oviedo, FL 32765 : Phone: (407)875-9080 1 FAX: (407)875-9085 MASTER STATEMENT Settlement Date: December 23, 2015 Escrow Number: ft91-91-15-1048a Disbursement Date: December 23, 2015 Escrow Officer: Angelique Davis Buyer: John A. Marshall Living Trust dated February 14, 2000 Seller: Toni L. Giesbrecht and Jaye Giesbrecht P.O. Box 2243 Sanford, FL 32772 Property: 1006 Palmetto Ave Sanford, FL 32771 Lot 4, Block 12, Tier 2, Florida Land and Colonization Company Limited E.R. Traffords Map of the Town of Sanford SELLER BUYER DEBITS $ CREDITS $ DEBITS $ CREDITS FINANCIAL CONSIDERATION , 156,650.00 Contract sales price 156,650.00 TITLE & ESCROW CHARGES 200.00 Settlement or closing fee 250.00 Fidelity National Title of Florida, Inc. Settlement or closing fee 4.50 RE: eRecording Seminole County Clerk of Court 858.50 Owner's title insurance Fidelity National Title of Florida, Inc. 105.00 Title Search Fidelity National Title of Florida, Inc. Policies to be issued: Owners Policy Underwriter. Fidelity National Title Insurance Company Coverage: $156,650.00 Premium: $858.50 Version: ALTA Owner's Policy 2006 (with Florida Modifications) RECORDING CHARGES Government recording charges 18.50 Seminole County Clerk of Court 1,096.90 State tax/stamps Seminole County Clerk of Court PAYOFFS Payoff of first mortgage loan ($50,166.41) Fairwinds Credit Union 50.166.41 Total Payoff MISCELLANEOUS CHARGES 3.28 Florida Surcharge Fidelity National Title of Florida, Inc. 2,077.84 2015 Property Taxes Seminole County Tax Collector 54,507.93 156,650.00 Subtotals 156.923.00 Balance Due FROM Buyer 156,923.00 102,142.07 Balance Due TO Seller 156,650.00 156,650.00 TOTALS 156,923.00 156,923.00 The undersigned hereby certify that they have carefully receive the HUD or other settlement statement form, and they approve and agree to the payment of all fees, costs, expenses and disbursement as reflected on the HUD or other settlement statement form to be paid on their behalf. We further certify that we have received a copy of the HUD or other settlement statement. SELLER: BUYER: do& V - Z&Q &Aya John A. Marshall Living Trust dated February 14, 2000 Toni L. Giesbrecht Jam` PrintP Print Name: Jaye Gl sbrecht as Trustee Page 1 of 2 (91-15-1048a/16) December 22, 2015 2:03 PM E Master Statement, Legal - Continued I have reviewed the HUD, the settlement statement, the lender's closing instructions and any and all other forms relative to the funds held in escrow, Including any disclosure of the Florida title insurance premiums being paid, and I agree to disburse the escrow funds in accordance with the terms of this transaction and Florida law. Fidelity National Title of Florida, Inc. Angelique Davis Page 2 of 2 (91-15-104806) December 22, 2015 2:03 PM E 1. 1 11 1 1 It I I I I I l r Fidelity National Title of Florida, Inc 1460 E Red Bug Rd, Suite 1050, Oviedo, FL 32765 Phone: (407)'875-9080 1 FAX: (407)875-9085 - MASTER STATEMENT Settlement Date: December 23, 2015 Escrow Number. f191-91-15-1048a Disbursement Date: December23, 2015 Escrow Officer. Angelique Davis Buyer. John A. Marshall Living Trust dated February 14, 2000 Seller Toni L. Giesbrecht and Jaye Giesbrecht P.O. Box 2243 Sanford, FL 32772 Property: 1006 Palmetto Ave Sanford, FL 32771 Lot 4, Block 12, Tier 2, Florida Land and Colonization Company Limited E.R. Traffords Map of the Town of Sanford SELLER BUYER DEBITS $ CREDITS $ DEBITS $ CREDITS FINANCIAL CONSIDERATION 156,650.00 Contract sales price 156,650.00 TITLE & ESCROW CHARGES 200.00 Settlement or dosing fee 250.00 Fidelity National Tlne of Florida, Inc. Settlement or closing fee 4.50 RE: eRecording Seminole County Clerk of Court 858.50 Owner's title insurance - Fidelity National Title of Florida, Inc. 105.00 Title Search Fldetlty National Title of Florida, Inc. Policies to be Issued: Owners Policy Underwriter.'Fldelity National Title Insurance Company Coverage: $156;650.00 Premium: $858.50 Version: ALTAOwnees Policy2006 (with Florida Modifications) RECORDING CHARGES Government recording charges 18.50 Seminole County Clerk of Court 1,096.90 State tax1stamps Seminole County Clerk of Court PAYOFFS Payoff of first mortgage loan ($50,166.41) Fairwinds Credit Union 50,166.41 Total Payoff MISCELLANEOUS CHARGES, 3.28 Florida Surcharge Fidelity National Tine of Florida, Inc. 2,077.84 2015 Property Taxes Seminole County Tax Collector 54,507.93 156,650.00 Subtotals 156,923.00 Balance Due FROM Buyer 156,923.00 Page 1 of 2 (91-18.1048a/16) December 22, 2D75 204 PM E Fidelity National Title of Florida, Inc. 0 1460 E Red Bug Rd, Suite 1050, Oviedo, FL 32765 Phone: (407)875-9080 1 FAX: (407)875-9085 MASTER STATEMENT Settlement Date: December 23, 2015 Escrow Number. ft91-91-15-1048a Disbursement Date: December 23, 2015 Escrow Officer: Angelique Davis Buyer: John A. Marshall Living Trust dated February 14, 2000 Seller: Toni L. Giesbrecht and Jaye Giesbrecht P.O. Box 2243 Sanford, FL 32772 Property: 1006 Palmetto Ave Sanford, FL 32771 Lot 4, Block 12, Tier 2, Florida Land and Colonization Company Limited E.R. Traffords Map of the Town of Sanford SELLER BUYER DEBITS $ CREDITS $ DEBITS $ CREDITS FINANCIAL CONSIDERATION 156,650.00 Contract sales price 156,650.00 TITLE & ESCROW CHARGES 200.00 Settlement or closing fee 250.00 Fidelity National Title of Florida, Inc. Settlement or closing fee 4.50 RE: eRecording Seminole County Clerk of Court 858.50 Owner's title insurance Fidelity National Title of Florida, Inc. 105.00 Title Search Fidelity National Title of Florida, Inc. Policies to be issued: Owners Policy Underwriter: Fidelity National Title Insurance Company Coverage: $156,650.00 Premium: $858.50 Version: ALTA Owner's Policy 2006 (with Florida Modifications) RECORDING CHARGES Government recording charges 18.50 Seminole County Clerk of Court 1,096.90 State tax/stamps Seminole County Clerk of Court PAYOFFS Payoff of first mortgage loan ($50,166.41) Fairwinds Credit Union 50,166.41 Total Payoff MISCELLANEOUS CHARGES 3.28 Florida Surcharge Fidelity National Title of Florida, Inc. 2,077.84 2015 Property Taxes Seminole County Tax Collector 54,507.93 156,650.00 Subtotals 156,923.00 Balance Due FROM Buyer 156,923.00 102,142.07 Balance Due TO Seller 156,650.00 156,650.00 TOTALS 156,923.00 156,923.00 The undersigned hereby certify that they have carefully receive the HUD or other settlement statement form, and they approve and agree to the payment of all fees, costs, expenses and disbursement as reflected on the HUD or other settlement statement form to be paid on their behalf. We further certify that we have received a copy of the HUD or other settlement statement SELLER: BUYER: John A. Marshall Living Trust dated February 14, 2000 Toni . Giesbrecht BY: Print Name: Ja 9esbkkht as Trustee Page 1 of 2 (91-15-1048al16) December 22, 2015 2:04 PM E Master Statement, Letter - Continued SELLER BUYER DEBITS $ CREDITS $ DEBITS $ CREDITS 102,142.07 Balance Due TO Seller 156,650.00 156,650.00 TOTALS 156,923.00 156,923.00 The undersigned hereby certify that they have carefully receive the HUD or other settlement statement form, and they approve and agree to the payment of all fees, costs, expenses and disbursement as reflected on -the HUD or other settlement statement form to be paid on their behalf. We further certify that we have received a copy of the HUD or other settlement statement SELLER: BUYER: Joh A. Marshall Living Trust dated ebtuary 14, 2000 Toni L. Giesbrecht BY: Print me: Jaye Giesbrecht as TrOtiftne I have reviewed the HUD, the settlement statement, the lender's closing Instructions and any and all other forms relative to the funds held In escrow, Including any disclosure of the Florida title insurance premiums being paid, and I agree to disburse the escrow funds In accordance with the terms of this transaction and Florida law. Fidelity National Title of Florida, Inc. Angelique Davis Page 2 of 2 (91-15-104aat16) December 22, 2015 2:04 PM E DI1111f! n. .. lI1WJl I,y1J WrW1 11 MM11 IlM Master Statement, Legal - Continued I have reviewed the HUD, the settlement statement, the lender's closing instructions and any and all other forms relative to the funds held in escrow, including any disclosure of the Florida title Insurance premiums being paid, and I agree to disburse the escrow funds in accordance with the terms of this transaction and Florida law. Fidelity National Title of Florida, Inc. Angelique Davis Page 2 of 2 (91-15-1046a/16) December 22, 2015 2:04 PM E