HomeMy WebLinkAbout108 Oakridge CtR I N 2 0 2A1fi
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CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: I Le- 30 1
Documented Construction Value: $ "7 0 0.O a
Job Address: /y /OS DA 14zi ne,rF- c 7- Historic District: Yes NoEl Parcel
ID: Residential Commercial Type
of Work: New Addition Alteration Repair Demo Change of Use Move Description
of Work:,&- - 1-0 F4 W'004 Plan
Review Contact Person: Phone:
Fax: Email: Property
Owner Information Title:
Name
JA I /2 c7 =DD LGAJDO Phone: zLO 7 - l 8 7 4 q3 `6 Street: /
08 nA 1- 2i_nG L CT Resident of property? City,
State Zip: :SN NF Olt /= L 3 277 3 Contractor
Information 0 Name
Phone: Street:
City,
State Zip: _ Name:
Street:
City,
St, Zip: Bonding
Company: Address:
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 wo&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
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.
A , ' 1
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 comypTance with all applicable laws regulating construction and zoning.
Date
7-0
py P ANNETTE SCOTT
Notary Public - State of Florida
My Comm. Expires Jan 16, 2018
Nl• OP Commission # FF 071760
Bonded Through National Notary Assn.
Owner/Agent is 'PIJ0r bnally
Produced ID Type of ID
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:
New Construction: Electric - # of Amps,
Fire Sprinkler Permit: Yes No # of Heads
Job
APPROVALS: ZONING: 1-' -I(,-, S''"*`[1TILITIES:
ENGINEERING:
COMMENTS:
lull-1313
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
SCPA Parcel View: 11-20-30-510-0000-1210 Page 1 of 1
David Johnson. CF A Property Record Card
PROPERTY Parcel: 11-20-30-510-0000-1210
PRMSER Owner: DELGADO JAIRO
SG AINOLEC OUNTY,FLORIDA Property Address: 108 OAKRIDGE CT SANFORD, FL 32773-5650
I Parcel: 11-20-30-510-0000-1210 1
Property Address: 108 OAKRIDGE CT
Owner: DELGADO JAIRO
Mailing: 108 OAKRIDGE CT
SANFORD, FL 32773-
Subdivision Name: HIDDEN LAKE VILLAS PH 5
Tax District: Sl-SANFORD
Exemptions: 00-HOMESTEAD (2016)
DOR Use Code: 0103-TOWNHOME
Value Summary
2016 Working
Values
2015 Certil
Values
Valuation Method Cost/Market Cost/Mark(
Number of Buildings 1 1
Depreciated Bldg Value 57,765 55,881
Depreciated EXFT Value 600 600
Land Value (Market) 12,000 12,000
Land Value Ag
Just/Market Value
70,365 68,481
Portability Adj
Save Our Homes Adj 0 0
Amendment 1 Adj 5,359
Assessed Value 70,365 63,122
Tax Amount without SOH: $1,
2015 Tax Bill Amount $1,
Tax Estimator
Save Our Homes Savings:
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
LOT 121
HIDDEN LAKE VILLAS PH 5
PB28PGS81T083
Taxes
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 70,365 45,365
Schools 70,365 25,000 1
City Sanford 70,365 45,365
SJWM(Saint Johns Water Management) 70,365 45,365
County Bonds 70,365 45,365
Sales
Description
http://www.scpafl.org/ParcelDetailInfo.aspx?PID=l 1203051000001210 1/20/2016
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
t) 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
J D 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.
S 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
AD 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
j D 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
zoning regulations.
S 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
D 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
J D 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.
Prope rty A, ddress: / 08 014 K70 / ,DG E GT
In J A I /G v 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 snecified above.
a.
Date
Form of Identification
Must be Photo ID)
cal - Z o •- Z CY 6
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
Sanford Ridden Labe Villa Homeowners Association, Inc
Approval Fonn
Architectural Control Committee (ACC) approval for improvements to exterior of Hidden Lake Villas and
Carlton Homes. (SHEDS WILL REQUIRE A SIGNED SHED REQUIREMENT FORM ATTACHED)
Instructions: Please complete the following information and mail or fax form to the address below. Upon
approval, a signed copy will be forward to you. Visual inspection by ACC member or Managing Agent
may be necessary. Some improvements may require a permit from the City of Sanford and application
would be made after receipt of approval. All approvals will be made at the monthly board meeting held
the second Tuesday of each month. If you need approval sooner put date needed by
and reason
Please Print)
Name: JAIRD T)FLGAAddress of improvement 106 QAK121 DG;F_ CT_ .5 jjj=,0 '2 . i=]- 32773 Telephone: "
7-687,6//5 Date:O/-06-Z'yf'! ion
of Improvements: (If you need more space attach a 8x11 sheet of paper.) LvCbi7
STZ-v4AD•p ow (A' [I;;v-.jL For
Fences and additions: Applicant must submit drawing on a plat or survey showing that fence or addition
is not blocking the required 10 (Ten) foot easement behind all villas. For
painting: Villas - Applicant must provide color selection number from color palette or color samples. Homes -
Applicant must provide paint color samples(s). Roofs -
Villas - Only Deser ,TVbr Copperwood are allowed. Homes - Color
muit bdappr9yed by ACC committee. Signature of
Applicant: Mail to:
SanfordWiddea-rake Villas HOA, Inc PO box
1706 Sorrento, Fl.
32776-1706 Fax: 866-
346-6016 Any questions call the managing agent on 407-340-0006. Approved by
representative of ACC or Aspociation Board Mem7/.,/, I elSignature1
ate: 16 Sanford Hidden
Lake Villas Sign ure
2 Date: I Z13 ^Y` Architectural Control Co mi ee r APPROVED -
DATE: ` el ICJ Signature 3
Date: %j rs WITH Fo
1 oWfiNGqO__V_ IONS:
FINAL
BOARD
APPROVAL and verification that enhancement was completed as stated above. Verified by
ACC or board member Date: Signature This
approval
will expire 60 clays from the approval date
Leru1 Deicr-iplidn
Lot 1 ? 1. WD—DEN IAK VILL4• F, PHASE fir', according. try the p' al
tl?creof, as recorded in Plat Boob 28, Page(s) 81 Vir'augh 83, of the
Public Recordsof 17vnfnole aunty. FL. aomnruait -
number. 120294 Panek 0070 APPROVE PLAT a Sufi
F-F.,1.1R' I. Dow 5WWDOi Road Zone, X Date
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