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Home My WebLink About201 W 17 Str CITY OF SANFORD r -- -- ___ _ BUILDING & FIRE PREVENTION Y`T]] PERMIT APPLICATION JAN 0 62016 NApplication o: ocorme to Construction Value: $/-o D . Job Address: O ,, ww Ltd . / 7 rk Sr- Historic District: Yes NZ Parcel ID: Residential,I Commercial Type of Work: New Addition Alterat%n Repair, Demo Change of Use Move Description of Work: i F,p/ p , -7r? %17 Eel, aiG! l G d2 E14 I M. { N 5% MLA-1&R_ 4 o X F- 5. SE F_ #0140 L6,1 Plan Review Contact Person: &L MA Title: 4 /IA4 f' 01 ) Phone: Fax: vl - Email: i Property Owner Information Name 1.91A AAAIAL Phone:0`7 e`r34 b;`; Street: ;2l "7-A j S! Resident of property : aa&(3 A,> t 9tOS,tSycFA xaiigx3.mr o0 qP.9 =,. + :, = . City, State Zip: SA p) 4:6X Z T:,-_ 3277 1 ,1 1SPS?St 31 k noizzunnloo Contractor Information Name Phone: Street: Fax: City, State Zip: ! State License No.: Architect/ Engineer Information Name: It ',Phone: Street: ( Fax: City, St, Zip: 0 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 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 understanj 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 z r NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable td,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 t1fa foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Si ature o e Agent Date Signature of Contractor/Agent Date Print Owner/Aeedds Name I FFd #911391IN - State of Florida My Comm. Expires May 21, 2018 Commission S FF 125242 ti Print Contractor/Agent's Name Signature of Notary -State of Florida, a Date Owner/Agent is Personally Knpwn 10 We or Contractor/Agent is Personally Known to Me or Produced ID 7'— Type of ID Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building ElectricalRr 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 APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: SF-1-12-lic v Revised: June 30, 2015 Permit Application t r Al t 0 1 ILI LA OWNER BUILDER STATEMENT/AFFIDAVIT S 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. z OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DIVISION TO SIGN THIS DOCUMENT t BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement) 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 listed, certain restrictions even though I do not have apropertymayactasmyowncontractorwith 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 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. 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 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 r,f'f \` C I d C rW: 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. 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 Ithat 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 coverage. Property c;- A K "u, r' _Q. ' 3.z.->?, 1, , do hereby state that I am qualified and capable of perforAQ the requested construction involved with the permit application filed and agree to the conditions specified above. 15 AS ate Form of Identification Must be Photo ID) r 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 SCPA Parcel View: 36-19-30-506-0000-0370 DctvM Johnson, CFA Property Record Card PROPERTY Parcel: 36-19-30-506-0000-0370 APPRAISER Owner: AURER LYLA C SEMINOLECOUNTY, FLORIDA Property Address: 201 W 17TH ST SANFORD, FL 32771 Parcel: 36-19-30-506-0000-0370 1 Property Address: 201 W 17TH ST Owner: AURER LYLA C Mailing: 201 W 17TH ST SANFORD, FL32771- Subdivision Name: SANFORD HEIGHTS Tax District: Sl-SANFORD Exemptions: DOR Use Code: 01-SINGLE FAMILY Legal Description E 20 FT OF LOT 37 & ALL LOT 38 SANFORD HEIGHTS PB2PG63 Taxes Value Summary 2016 Working Values 2015 Certified Values Valuation Method Cost/Market 1 95, 407 1, 976 Cost/ Market Number of Buildings Depreciated Bldg Value Depreciated EXFT Value Land Value (Market) Land Value Ag 1 93, 770 Y 2, 038 17, 296 114, 679 17, 296 Just/ Market Value 113, 104 Portability Adj Save Our Homes Adj 0 0 0 Amendment1Adj0Assessed Value 114,679 113,304 ' Tax Amount without SOH: 2015 Tax Bill Amount Tax Estimator Save Our Homes Savings: Does NOT INCLUDE Non Ad Valorem Assessments 2, 301.82 2, 301.82 0. 00 Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 114,679 I 0 114,679 Schools 114,679 0 114,679 City Sanford — i 114, 667799 0 114,679 S3WM( Saint 3ohns Water Management) 114,679 0 114,679 County Bonds 114,679 0 114,679 Sales Description Date Book Page Amount Qualified Vac/Imp SPECIAL WARRANTY DEED 10/1/2015 6/ 1/2015 08571 0741 154,500 No No Improved CERTIFICATE OF TITLE 08498 1358 70,100 Improved WARRANTY DEED QUIT CLAIM DEED - 10/ 1/2006 2/ 1/2001 3/ 1/1999 v 06469 04014 03628 0734 j 1401 823 262, 000 Yes No l Improved Improved 100WARRANTY DEED 90,500 Yes Improved QUIT CLAIM DEED CORRECTIVE DEED _ 1/ 1/1999 5/ 1/1996 03593 03072 02876 1505 03 0522 100 100 No Improved No Improved WARRANTY DEED -- — — 1/1/1995 --- I — — $78,500 Yes Improved Page 1 of 2 1 rma t;omparaDle sales wlmm mIs suDDlwslon I Land Method Frontage Depth Units Units Price Land Value FRONT FOOT & DEPTH I 80 127 230.00 ` $17,296 http:// www.scpafl.org/ParcelDetailInfo.aspx?PID=36193050600000370 1/6/2016 1 PERMIT NO. 1 6 _ 101 ISSUE CONTRACTOR: HOME'_ Oumer JOB ADDRESS: 01 W_ihth st City of Sanford Building & Fire Prevention Division Residential Permit Card TYPE OF WORK: 'Red* M 0) 17? Q C W S Post this permit in a conspicuous location outside Approved plans must be posted with permit for inspection Leave all work uncovered until inspected and approved Permit expires 6 months from date of issue or last approved inspection PROTECT FROM WEATHER BUILDING INSPECTION TYPE APPROVED REJECTED INSPECTOR ELECTRICAL INSPECTION TYPE APPROVED REJECTED INSPECTOR FOOTER INSPECTION ELECTRIC UNDERGROUND STEMWALL FOOTER/SLAB STEEL BOND FORMBOARD SURVEY T.U.G. / PRE POWER SLAB / MONO -SLAB ELECTRIC ROUGH LINTEL / TIE BEAM ELECTRIC FINAL SHEATHING - ROOF MECHANICAL INSPEC77ON TYPE APPROVED REJECTED INSPECTORSHEATHING - WALLS FRAME MECHANICAL ROUGH INSULATION ROUGH IN MECHANICAL FINAL DRYWALL/SHEETROCK PLUMBING INSPEC77ON TYPE APPROVED REJECTED INSPECTORLATHINSPECTION FINAL STUCCO/SIDING UNDERGROUND ROUGH FIREWALL SCREW TUB SET FIREWALL FINAL SEWER INSULATION FINAL PLUMBING FINAL FINAL SFR GAS INSPECTIONS INSPEC770N TYPE APPROVED REJECTED INSPECTORROOF INSPEC770N TYPE APPROVED REJECTED INSPECTOR GAS UNDERGROUND PIPE ROOF DRY -IN GAS ROUGH -IN FINAL ROOF GAS FINAL MISCELLANEOUS / FINAL INSPECTIONS INSPEC7ION TYPE APPROVED REJECTED INSPECTOR INSPEC7ON TYPE APPROVED REJECTED INSPECTOR PRE -DEMO FINAL DOOR FINAL DEMO FINAL- WINDOW FINAL SOLAR PANELS IRRIGATION FINAL FINAL POOL SCREEN FINAL SCREEN ROOM FINAL UTILITY BUILDING FINAL BUILDING OTHER MOBILE HOME TIE -DOWN MOBILE HOME FINAL 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. 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 FBCI05.3.3 TO SCHEDULE AN INSPECTION: Dial855.541.2112 Provide the items requested during the message ' The type of inspection requested must be scheduled under the appropriate permit type Follow the prompts To Schedule Fire Inspections: Please call 407.562.2786 *** PLEASE NOTE: Inspections scheduled by 3:30 p.m. will be conducted the next business day. If you experience difficulty, please call 407.688.5150 Monday - Thursday 7:30 am - 5:30 pm for assistance. AUTOMATED INSPECTION SYSTEM CODES BUILDING ELECTRICAL FOOTER 104 ELECTRIC UNDERGROUND 211 STEMWALL 102 FOOTER / SLAB STEEL BOND 221 FORMBOARD SURVEY 147 T.U.G. 216 SLAB / MONO -SLAB 103 PRE POWER FINAL 218 LINTEL / TIE BEAM 105 ELECTRIC ROUGH 212 SHEATHING - ROOF 106 ELECTRIC FINAL 213 MECHANICALSHEATHING - WALLS 115 FRAME 109 MECHANICAL ROUGH 409 INSULATION ROUGH -IN 110 MECHANICAL FINAL 410 PLUMBINGDRYWALL / SHEETROCK 131 LATH INSPECTION 132 UNDERGROUND ROUGH 322 FINAL STUCCO / SIDING 130 TUB SET 312 FIREWALL SCREW 120 SEWER 311 FIREWALL FINAL 143 PLUMBING FINAL 313 GASINSULATIONFINAL113 FINAL SFR 138 GAS PIPING UNDERGROUND GAS ROUGH -IN 328 314ROOF ROOF DRY -IN 116 GAS FINAL 315 FINAL ROOF III MISCELLANEOUS / FINAL INSPECTIONS PRE -DEMO 144 FINAL DOOR 136 FINAL DEMO 126 FINAL WINDOW 137 FINAL SOLAR PANELS 134 IRRIGATION FINAL 321 FINAL POOL SCREEN 139 FINAL SCREEN STRUCTURE 127 FINAL UTILITY BUILDING 124 FINAL BUILDING - OTHER 112 MOBILE HOME TIE -DOWN 145 MOBILE HOME BUILDING FINAL 146 Miscellaneous Notes: InspectionLine: 855.541.2112