HomeMy WebLinkAbout141 Bob Thomas CirCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
T
Ih—
Documented Construction Value: $
JobAddress: mrrms Historic District: Yes D No 0'
Parcel ID: ; 2,o lioVo _1150--mmercialEleTqResidential0
Type of Work: - NewEl AdditionEl AlterationEl RepairEl DemoEl Change of UseEl Move 11
Description of Work:
Plan Review Contact Person:
Phone: a2,25 §D x: J3:a.
Title:
Email: - *
Property Owner Information
Name kme 61
Street: 141 Ao-b —Mmas
City, State Zip: r-zO 144- 3 7 -7
Phone:
Resident
4
Bros r';
Contractor Information
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 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: 51h Edition (2014) Florida Building Code op
Revised: June 30, 2015 Pennit Application
11
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.
OVIINER'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.
1; _*' 4 1
Signa d g nt 1 baie"
P r/Agent's Nlarof
Si aJrAr_Q - — — — — — r%
LISA ANTONINI
Notary Public - State of Florida
My Comm. Expires May 21, 2018
0 . 0 Commission # FF 125242Ff0% .
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
OwMe-MA—ge—Fff TO` TeTsonarry-MMM-M e or Contractor/Agent is Personally Known to Me or
Produced ID Type of ID Produced ID — Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building[] ElectricalE] MechanicalE] Plumbing[] Gas[] Roof r]
Construction Type: Occupancy Use: Flood Zone: -
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: YesE] NoF] # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
of Stories:
Plumbing - # of Fixtures,
Fire Alarm Permit: Yes [] No []
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
I I IU C L 11 1 It, -
SCPA Parcel View: 35-19-30-515-0000-1040 Page 1 of 2
Property Record Card
Parcel: 35-19-30-515-0000-1040
Owner: KING WILLIE H & BERNEICE VipPropertyAddress: 141 BOB THOMAS CIR SANFORD, Fl. 32771
Parcel: 35-19-30-515-0000-1040
Property Address: 141 BOB THOMAS CIR
Owner: KING WILLIE H & BERNEICE V
Mailing: 141 BOB THOMAS CIR
SANFORD, FL 32771-3096
Subdivision Name: ACADEMY MANOR UNIT 01
Tax District: Sl-SANFORD
Exemptions: 00-HOMESTEAD (1994)
DOR Use Code: 01-SINGLE FAMILY
Legal Description
LOT 104
ACADEMY MANOR UNIT I
PB 13 PG 93
Taxes
IValue Summary I
2016 Working
Values
2015 Certified
Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg value 40,013 38,893
Depreciated EXFT Value 1,350 1,400
Land Value (Market) 9,500 9,500
Land Value Ag
Just/Market Value 50,863 49,793
Portability Adj
Save Our Homes Adj 1,693 965
Amendment 1 Adj
Assessed Value 49,170 48,828
Tax Amount without SOH: $402.81
2015 Tax Bill Amount $383.18
Tax Estimator
Save Our Homes Savings: $19.63
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund
Schools
City Sanford
49,170
49,170
49 1701
30,000
30,ODO
30,000
19,170
19,170
19,170
S3WM(Salnt 3ohns Water Management) 49,170 30,0G0 19,170
I County Bonds 49,170 30,000
Sales
Description Date Book Page I Amount Qualified Vac/Imp
No data to display
Find Comparable Sales within this Subdivision
Land
Method Frontage I Depth I Units Units Price I Land Value
LOT 0 ! 0 $9,5()0.00 1 $9,500
Building Information
http://www.scpafl.org/PareelDetailInfo.aspx?PID=35193051500001040 2/2/2016
SCPA Parcel View: 35-19-30-515-0000-1040
0 ,
Page 2 of 2
UTIUTY
UNFINISHED
SCREEN
PORCH 200
FINISHED
SCREEN
PORCH 56
FINISHED
Permits
Permit # Type Agency Amount I CO Date Permit Date
02228 Addition - Residential Sanford $13,000 9/5/2013
00581 Miscellaneous Sanford $3,685 1/4/2012
02230 Addition - Residential Sanford $1,000 6/1/2003
Extra Features
Description Year Built Units Value I New Cost
SCREEN PATIO 1 11/1/2013 1,350 1 $1,500
h4://www.scpafl.org/ParcelDetailInfo.aspx?PID=35193051500001040 2/2/2016
I
11
OWNER BUILDER STATEM ENTIAM DAVIT
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 ATfEST 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 1, 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
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 I year after the construction is complete, the law will-iresume 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
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. 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
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
rA
I
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
nzoning regulations. Oant±II 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
listed below.
I agree to notify the building department immediately of any additions, deletions, or changes to any of the
nformation 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 daipages. 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
1, 4&a / / / e_- //- a, 16 k:;- , do hereby state that I am qualified
and capable' 6f -performing thelreq'ues'tevd construction involved with the permit application filed and agree to the
conditions specified above.
Signature o_TD—WTeV-Bu!dr <----`Date 7 to
1.
Form of Identification—Zr
must be Photo- 0)
A violation of this exemption is a misdemeanor of the flrst 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 Hcensure under
the permit issued.
Rev. 9.14.2009
MARYANNE MORSE, SEMINOLE COUNTY
CLERK OF'COURT & COMPTROLLER
PO BOX 8099 1
SANFORD, FL 32772
407-665-4405
WWW.SEMINOLECLERK.'OZRG
REF:
DATE;2/2/2016
TIME:10:41:58 AM
RECEIPT: 1476223
WILLIE H KING
ACCOUNT 4: 0
ITEM - 01 NC
RECD: 2/2/2016 10:42:11 AM
FILE: 2016011069 BK/PG 0 8625/1040
FIRST PARTY
RE NOTICE COMMENCEMENT
Recording Fees 10.00
COPIES 1.00
CERTIFICATION 2.00
NOTARY 3.50
SUbtotal 16.50
TOTAL DUE 16.50
PAID TOTAL 16.50
PAID CHECK 1.6.50
Check #k43: 16.50
REC BY: hdevore
Have a Nicle Day
THIS IN I
Name: SD /17x,F =_yw (A
111111111111111111 111H 11111111111111111
Addres!37,;_ /
I VIF #V11, NARYANNE NORSEY SENINOLE Cowry
CLERK OF CIRCUIT COURT & COMPTROLLER
BK BL25 Pq 1040 (IPss)
NOTICE OF COMMENCEMENT CLERK'S 4V 2016011OL9
State of Florida
County of Seminole
Permit Number:
RECORDED 02/02/2016 10:42:11
RECORDING FEES $10.00
RECORDED BY hdevar `-3
Parcel ID Number: 3 _ N, 0_11
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.
DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
Fee Simple Title Holder (if other than owner)
CONT ACTOR;-,
Narnp. V111111 e
Address:
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served
as provided by Section 713.13(l)(b), Florida Statutes.
Name:
Address:
In addition to himself, Owner Designates of
To receive a copy of the Lienor's Notice as Provided in
Section 713.13(l)(b), Florida Statutes.
Expiration Date of Notice of Commencement (The expiration date Is I year from 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 1, 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 ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true
to the bes of my kn I dge ano bellpf.
oignatu Owner's Printeh t Wng V--- V!k
Florida StalVe
Z713k
3(1 Xg): ' The oWwnesign the notice of commencement and no one else
I
may be permitted to sign In his or her stead.'
AM
1
State of L —County of (y) I
The foregoing instru ent was acknowledged before me I:Vhl,y of F03, .20
p"Ivor, c 0!Aby Who Is personally known to me
Name of person making statement
OR who has produced Identification GItype of Identification produced:
CER I IFIM COPY — MARYANNE MO RS E
COURTAND '
SE PINOLE CPBY`7:;" p
I '0111K
MN "
I0V
y- Ck4ay..1signature
MEAII-HER NVOMWEPUTY ClErM."
MiDwinSTATES ASPHALT
Product S ecffications*
QUIK-Sti,ck I%FG2
ice & Water Shield
Uses & Descripiion
QUIK-Stick Ic& & W ter Shield is 'an SIBS modified self-adhenng Knemb rane re-
inforbed with hon-woven,fiberglass mat for extra stee ngth and durability. QUIK-
Stick IW is a '' highly versatile
I
underiay ne'n't that
I
Provi . des superior waterproof
integrity and is n excellent second wall of defense* against wind driven rain and
seepage due to ice danimin' . 9
Benefits
kiOffersasid resistan.; granular surface
Allows for eai installation and, handling' as a result of silico ne treated split
back release film
Provides high terhoerature stability
May be insialled directly to concrete, plywood, wood composition board and
9 PSUM-11y
Self seals 'around nails
May be use in nd ruction or rd-roofingdwcons
qife gr:eaterte'a`r're'sis"tance th.16.traditiori'a f6lt u n*ide a'ymenC.
4
ides protection Tor critical areas such as rakes, eves, valleys,- flashings,
hi.ps,' ridges; dormers and skylights
s! Provides exbellent low temperature flexibility'
Spocific6tions
Reference ASTM
Thi&hegi, Min
1970.
60 mils
maximuin Load, min
MD=35 CD=35
Elongation at Break, min
30%
Adhesion to Plywood @ 77 OF min 2d.0 Ibf/ft
Therm'al Stabiliiyj max
4
Flexibility Temberatur @ -26 6F min'
0.05
Sealabili f around nail
pass
Water Pr of IntesidW after Low Temp. Flex pa SK,
pass
Water rbof Integrity of lap'Seam,
Slip Resistahce
pass
Aolls per Pallet
pass
20
Roll Wdi ht
72 Ibs 21bs
Roll Diameter
6.75 in.
Coverage
216 sq ft
IC3M --;-STATE S ASPHALT-.
Tuscaloos4, AL, 1 (800) 489 - 2391
www.msaroof.com
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: Documented Construction,Yalue: S
f
Job ddress:' n111&3 Orc& Historic District: Yes[] No*__
Pa'rcel ID: zoning.
Description of Work: &A q
Plan Review Contact Person: Title:
Ph ne _-3sv-a jv Fax: E-mail: z
J Property Owner Information
Name 6/j, lfp e_ Phone:d_,Q EL22
Street: Residen't of property?
Z7City, State Zip
I f
Name
Street:
City, State Zip:
Name:
Street:
City, St, Zip:
Contractor Information
Phone:
Fax:
State License No.:
Arch itect/Eng i neer Information
Phone:
Fax:
E-mail:
Bonding Company: Mortgage Lender:
Address: Address:
Building Permit
PERMIT INFORMATION
Square Footage: 5_Construction Type: &C-e No. of Stories:
No. of Dwelling Units:,94k__ Flood Zone:
Electrical 0 Plumbing 0
New Service - No. of AMPS: New Construction - No. of Fixtures:
Mechanical E3 (Duct layout required for new systerns) Fire Sprinkler/Alarm 13 No. of heads:
J7
il, App liceition is hereby made to obtain a permit to do the work and installations as indicated. I certify that no..
ly rkinned toworkorinstallationhascommencedpriortotheissuanceofapermitandthatallworkwillbee
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.
OWNEWS 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 TRE JOB SITE BEFORE TRE
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 t 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 calcillate the
plan review fee based on past permit activity levels. Should calculated charges exceed the doc , umented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
Signature of Owner/Agent Date Signature of Contractor/Agent Date
Print Owner/Agent's Name Print Contractor/Agent's Name
Signature of Notary -State of Florida Date Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ED
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Rev 11.08
UTILITIES:
Contractor/Agent is Personally Known to Me or,
Produced ID _ Type of ID
WASTE WATER:
BUILDING:
0
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: 16 5? P
4(6 hereby acknowledge that I personally inspected
C,Ito of deck nailing and/or 0 Secondary water barrier work
A — 0 —
at and have determined that the work
Job Site Address)
was done according to the Hurricane Mitigation Retrofit Manual. (based on 553.844 F.S.)
I certify that my statements herein are true and accurate to the best of my belief and that I fully
understand that making any false statements in writing with the intent to mislead a public servant in the
performance of his or her official duty shall constitute a misdemeanor of the second degree pursuant to
Section 83 . 6 F.S.
Signature of Contr ctor Jate,
Printed Name'of Co'iftractor License #
License Type: 0 General 0 Building 0 Residential oofing Contractor
0 or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF Si uLlu)&
Sworn to (or affirmed) and subscribed"bdfore me this .2A/6 day of 20 by
who is 0 Personally Known to me or has X.#roduced (type of
identification) as identification.
SEAL)
Si2nature of Notary Public - -
111 Ito,
LISA ANTONINI
Notary Public - State of Florida
tfryje/Stamp Name Es My Comm. Expires May 21, 2018
0, of Notary Public Commission # FF 125242
3
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