HomeMy WebLinkAbout1506 Magnolia Ave0
CITY OF SANFORD
BUILDING & FIRE PREVENTION
7Y. PERMIT APPLICATION
N 2
Application No: -
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Docu/m en d Construction Value: $ Z o a. 0
Job Address: Historic District: Yes No
Parcel ID: k-01fl-syt - O p O o - O en o Residential [rCommercial
Type of Work: New ITAdditionEl Alteration Repair Demo Change of Use Move
Description of Work: e I e-
Plan Review Contact Person:
Phone: Fax: Email:
Property Owner Information
Title:
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Name 1NVV` Phone: P Q
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Street: S e //lCcq A ri (1 4 4-ve Resident of propertyT:
City, State Zip: -
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Contractor Information
Name fl CVrl 2 orel QC r' 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
Revised: June 30, 2015
Permit Application
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NOTICE: In addition to the requirements of this permit, there may be additipnal restrictions applicable to this property that may be
found in the public records ofthis 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 plan review,,,cha,Ige 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.
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A / A
Signat eofOwner/ gent Date Signature of Contractor/Agent Date
Print O%r/Agent's ame'r / Print Contractor/Agent's Name
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Sign re of No ry-State of Florida Efate I Signature of Notary -State of Florida Date
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State
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NotarFloridaMy Co1, 2018Co5242
O o Me or Contractor/Agent is Personally Known to Me or
Produced ID Type of ID Ak, Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Revised: June 30, 2015 Permit Application
0
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
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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 outbuildirig.' Iā
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
employ have the licenses required by law and by city ordinance. t
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 tax and social security contributions
y 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
F\
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.
AQ 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
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
1 coverage.
Property Address:_ S
1,- 1 1W`- I)
and capable of performing
conditions specified above.
Signafdre of
e , do hereby state that I am qualified
requested construction involved with the permit application filed and agree to the
Form of Identification ' ` - k,
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
NA
I [1
SCPA Parcel View: 36-19-30-501-0000-0090 Page 1 of 2
DavidJohnson. CFiA Property Record Card PROPERTY
Parcel: 36-19-30-501-0000-0090 APPRAISER
Owner: DEPPEN TIMOTHY & KRISTINA SEMWOLECOINTIY,
FLORIDA Property Address: 1506 S MAGNOLIA AVE SANFORD, FL 32771 Parcel:
36-19-30-501-0000-0090 Property
Address: 1506 S MAGNOLIA AVE Owner:
DEPPEN TIMOTHY & KRISTINA Mailing:
1506 S MAGNOLIA AVE SANFORD,
FL 32771-3438 Subdivision
Name: WELLINGTONS ADD TO SANFORD Tax
District: S3-SANFORD Exemptions:
00-HOMESTEAD (2009) DOR
Use Code: 0102-SINGLE FAMILY - SANFORD HISTORICAL DISTRICT
9
Legal
Description S
105 FT OF LOT 9 & N 88 FT OF LOT 10 WELLINGTONS
ADD PB1PG119
Value
Summary 2016
Working Values
2015
Certified Values
Valuation
Method Cost/Market Cost/Market Number
of Buildings 1 1 Depreciated
Bldg Value 56,074 54,615 Depreciated
EXFT Value 1,576 1,576 Land
Value (Market) 31,606 31,606 Land
Value Ag Just/
Market Value rc*
89,
256 87,797' Portability
Adj Save
Our Homes Adj 2,218 1,364 Amendment
1 Adj Assessed
Value 87,038 86,433 Tax
Amount without SOH: 2015
Tax Bill Amount Tax
Estimator Save
Our Homes Savings: r *
Does NOT INCLUDE Non Ad Valorem Assessments 965.
44 937.
68 27.
76 Taxing
Authority Assessment Value Exempt Values Taxable Value County
General Fund 87,038 50,000 37,038 Schools
87,038 25,000 62,038 City
Sanford 87,036 50,000 37,038 SJWM(
Saint Johns Water Management) 87,038 50,000 37,038 County
Bonds 87,038 50,000 37,038 Sales
Description
Date Book Page Amount Qualified Vac/Imp WARRANTY
DEED 11/10/2006 06081 1835 195,000 Yes Improved WARRANTY
DEED 7/1/1983 ( 01470 1315 18,000 No Vacant rmo
wmparao+e aa+es w:nn m:s buoervmon ' Land
Method
Frontage Depth Units Units Price Land Value FRONT
FOOT & DEPTH 1 193 1 1171 0 1 $230.00 31,606 Building
Information Description
Year
Built Fixtures
Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages Actual/
Effective 1
I SINGLE 1924/1970 3 1,038 1,422 1 1,038 SIDING $56,074 I $75,776 I Description
Area FAMILYIGRADE3pi
260
http://
www.scpafl.org/ParcelDetailInfo.aspx?PID=36193050100000090 1/25/2016
SCPA Parcel View: 36-19-30-501-0000-0090 Page 2 of 2
SCREEN
PORCH
UNFINISHED
UTILITY
70
FINISHED
OPEN PORCH 54UNFINISHED
Permit # Type Agency Amount CO Date Permit Date
02758 Addition - Residential Sanford 20,000 8/31/2015
Description Year Built Units Value New Cost
STANDBY GENERATOR 1 7/1/2006 1 0
WOOD UTILITY BLDG 7/1/1996 240 576 1,440
CARPORT 1 7/1/1996 1 200 500
PATIO 1 7/1/1985 1 200 500
FIREPLACE 1 7/1/1924 1 600 1,500
http://www.scpafl.org/ParcelDetailInfo.aspx?PID=36193050100000090 1/25/2016
Response to Cominenls El
c. ':4
Permit # Ae ā 3 2- q
Project Address: 15
Contact: _ i t vv,
Email _ 4f-p
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Trades encompassed in revision:
Building
PIumbing
L'Iectrical
Mechanical
Life Safety
Waste Water
Building & Fire Prevention Division
Ph: 407.688.5150 Fax: 407.688.5152
Email: building@sanfordfl.gov
Submittal Date_ - Z9 Atv,
Lliv Aylle--
Fax:
General description of revision:
ROUTING INFORMATION
Department Approvals
Utilities
Waste Water
PIanning
Engineering
Fire Prevention
Building
FEB 2 9 2016
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