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HomeMy WebLinkAbout109 Gleason CvD4 Sudoel r CITY OF SANFORD JAN 21 dais BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: 3Lq -3 Documented Construction Value: $ Job Address: Q Historic District: Yes No Parcel ID: Residential Commercial Type of Work: New Addition] Alteration Repair Demo Change of Use Move Description of Work:t Plan Review Contact Person: Title: Phone: Fax: Email: { 0j e-gkoYe V'ol &! I L • %tam Property Owner Information f Name 1v 1 dN'-i G- A I Phone: `t'01- 0-31 0 /q 1Z'-- Street: W q 450^1 ( 2, V Resident of property? City, State Zip: 1=d1ZSJ 327'Y 3 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' NO 1 ICE 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. Applicatiori is'hereby made to o'btain'taper'mittodo,the work•and installations as indicated. I certify'that no work or installation has commenced prior to the issuance of a permit and that' 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'h 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 groperty 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. Signature o caner/ t Date Signature of Cont actor/Agent Date Pr nt Owner/Agent'slName Print Contractor/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID 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: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No # of Heads bQ 1\-v•3A3 APPROVALS: ZONING: %i 47-U116 UTILITIES: ENGINEERING: COMMENTS: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application 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 Clicense. I understand that building permits are not required to be signed by a property owner unless he or she is j C_ 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 C 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 C 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 Cemploy 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 tag and social security contributions v 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 alsoCunderstandthattheconstructionmustcomplywithallapplicablelaws, ordinances, building codes, and zoning regulations. i r 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 r 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 listed below. I agree to notify the building department immediately of any additions, deletions, or changes to any of the Cinformation 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 youIrobtainanowner -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, , 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. Signature Form of Identification Must be Photo ID) Date ol- Z(,- 20)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. Ji Rev. 9.14.2009 APPROVEu PLMS ENG- DEPT.` LEGAL DESCR)PTION. LOT IJ9, PLACID WOODS PHASE TINT ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT 600K 58 PAGES 4-6, OF THE PUBLIC RECORDS OF SEMWOLC COUNTY, TLORIDA. 109 GCIEASON COVE SANMRO, FL SHORE TO SHORE TITLE, LLC - Long Survetirin Inc. SPpcmL_ing in RpsiJ:nnul5unf^.m8" LII Na. 73:1 143 Villa Di Este Terrace #113 Take Mary, FF. 32746 Office 407-330-9717 orA07-330-9716 Fax 407-330-9775 il'IIIP./UN,'SNfI't'10g.[ONI := DRAWN BM WCOfLD BY. DLL BRETT cmwo la FREDDY A CABRERA SHORE TO SHORE TITLE, LLC OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY SnARNS LENDING, LLC cave fNrY NA 120294 PAxtt sumx. 81-95 . arc• 0070 F 09/28/07 FLf. OW ICN• SORELY Na nao LN fr. 65385 07/23/15 1 oundary Suniey ce at,oL, c m o NOT PLATTED N8976'12"W 40.00'(P) N897842"W 40.05'(M) 5' D.E. ' LOT 139 1.2i 0.0' 1 V, 6 I G 5.6' 286' 2X S i obi o - r .0' TWO STORY CJ 3 /109 R LOT9 38 22 AS' N 0' XIO NNLLOT140 Z 2 O N O 145.01' (P) ma' s, u.E- - 0o11 0. S8976112 £ 0 J 14s. 04' (L+) 1589'16'1211E40. 00 P 589119 :35 LS8 7935"E 0:7'(M) j N h GLFASON COVF _ _ — 50' R/Ivj e - MOCKCENMAL ANOff CA - aiOW CS - COAeo WARM BLOCCCAL - C A4GW Ala%A SRIUCTURC Cr- - CLWCf7f/F NWUNCN7 COWRE D - 0.L - ORA C [ASf1[NI CASI C - FAST rr. L - CWL4ICB lLOaP lLCVA704 i A- WENTI FOLMO. - /Nov p1pr LP. -AWNRD A - AWN ROD LiteL - 1R C ROD R CAP L - ARCLrAFGTH SWKLd - LAND S(Dr1EiDNO BffSNY55 N - AI D OR N-NAX A AAON - NAR DISK P - PUl P. 0 - PANT Or COWU Rf P.CC - PANE d' l cwr D Paur NRC P.CP, - PLRAUlILNT Cd/lROC POWT P. L - PR4.rR7Y LNC P. PCYNT 0" BEGANWO P. 0.0 -PAN! W COAW09rABO4r O.- PAN! 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NO. 5910 SCPA Parcel View: 02-20-30-523-0000-1390 Page 1 of 2 David Johnnnon..CFA Property Record Card ROPER Tt Parcel: 02-20-30-523-0000-1390 PRMSER Owner: CABRERA FREDDY A SEMINOLE000NTYFLORIDA Property Address: 109 GLEASON CV SANFORD, FL 32773 Parcel: 02-20-30-523-0000-1390 Property Address: 109 GLEASON CV Owner: CABRERA FREDDY A Mailing: 109 GLEASON CV SANFORD, FL 32773- Subdivision Name: PLACID WOODS PH 2 Tax District: Sl-SANFORD Exemptions: 00-HOMESTEAD (2016) DOR Use Code: 01-SINGLE FAMILY Value Summary 2016 Working Values 2015 Certil Values Valuation Method Cost/Market Cost/Marke Number of Buildings 1 1 Depreciated Bldg Value 112,187 108,043 Depreciated EXFT Value Land Value (Market) 18,000 18,000 Land Value Ag Just/Market Value 130,187 126,043 Portability Adj Save Our Homes Adj 0 0 Amendment 1 Adj 14,714 Assessed Value 130,187 111,329 Tax Amount without SOH: $2, 2015 Tax Bill Amount $2, Tax Estimator Save Our Homes Savings: Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 139 PLACID WOODS PH 2 PB 58 PGS 4-6 Taxes Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 130,187 50,000 1 Schools 130,187 25,000 1( City Sanford 130,187 50,000 1 SJWM(Saint Johns Water Management) 130,187 50,000 1 County Bonds 130,187 50,000 1 Sales Description Date Book Page Amount Qualified Vac/Imp SPECIAL WARRANTY DEED 7/1/2015 08525 0079 148,000 No Improved CERTIFICATE OF TITLE SPECIAL WARRANTY DEED 3/1/2015 9 1 2001 08432 04178 0407 1193 69,100 104,800 No Yes Improved Improved Find Comparable Sales within this Subdivision http://www.scpafl.org/ParcelDetaillnfo.aspx?PID=02203052300001390 1/26/2016