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HomeMy WebLinkAbout209 Sir Laurence DrBAN Z p 016 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No - Documented Construction Value: $ C C/O Job Address: _ _1 93 L4- 4&- /DA_ Historic District: Yes No Parcel ID: Residential Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move A YAiAJ. Description of Work: AI)p ,5i5:C-0100 y 67x F60 C Plan Review Contact Person: Title: nn(' L Phone: 7 1 - _ Fax: Emai1:,4ND MI AR IP , I?_0 6-tfA I L, CDtit P oper y Owner Information Name APM& &MA' vti Phone: /qoz 3;l g Street: 2 1/L- I-hw.i.WCE 0i2 Resident of property?, t v City, State Zip: ! ,Ayrnlu, rL 3,2 77.3 f..' . Contractor Information Name Street: City, State Zip: Name: Street: City, St, Zip: Bonding Company: Address: 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 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 fort 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'n 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. Acceptance of permit is verification that I will notify the owner of the property of the requirements of l fr`ida Lien Law, ITS 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 of (5wnVAgent Date Print Owner/Agent's Name Signature e DEBBIE BLANTON MY COMMISSION # FF 176646 r, EXPIRES: February 25, 2019 Bonded Thru Notary Pubic underxriters Owner/Agent is Personally Known to Me or Produced ID Type of ID L. C 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 APPROVALS. ZONING: `-20—'S 6TILITIES: 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 ATXHE 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 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 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 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 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 coverage. Property I, k1 G do hereby state that I am qualified an capable of performing the requested construction involved with the permit application filed and agree to the conditions specified above. re of OwneWuilder Form of Identification 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 SCPA Parcel View: 10-20-30-501-0000-0810 Page 1 of 2 CD.- MdJohn-son,CFA Property Record Card PRap Parcel: 10-20-30-501-0000-0810 APPRAISER Owner: DEEM AMANDA I & MURPHY CRAIG A SWINOLECOUMIY.FLORIDA Property Address: 209 SIR LAWRENCE DR SANFORD, FL 32773 I Parcel:10-20-30-501-0000-0810 1 Property Address: 209 SIR LAWRENCE DR Owner: DEEM AMANDA J & MURPHY CRAIG A Mailing: 209 SIR LAWRENCE DR SANFORD, FL 32773- Subdivision Name: GROVEVIEW VILLAGE Tax District: SS-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 80,728 78,253 Depreciated EXFT Value 340 360 Land Value (Market) 20,000 20,000 Land Value Ag Just/Market Value 101,068 98,613 Portability Adj Save Our Homes Adj 0 0 Amendment 1 Adj 0 Assessed Value 101,068 98,613 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 81 GROVEVIEW VILLAGE PB19PGS4TO6 Taxes Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 101,068 50,000 Schools - 101,068 25,000 City Sanford 101,068 50,000 SJWM(Saint Johns Water Management) 101,068 50,000 County Bonds 101,068 50,000 Sales Description Date Book Page Amount Qualified Vac/Imp WARRANTY DEED 9/1/2015 08553 0754 145,000 Yes Improved WARRANTY DEED QUIT CLAIM DEED 7/1/2003 4/1/2002 04910 04401 1555 0913 129,500 100 Yes No Improved Improved WARRANTY DEED 4/1/2002 04401 0914 102,500 Yes Improved http://www.sepafl.org/ParcelDetailInfo.aspx?PID=10203050100000810 1/20/2016 k I9-e- 1 0 30' APPROVEDf: a),yEASEMENT NOTE - THERE IS A 10' DRAINAGE & UTILITY EASEMENT ( DUE) ALONG THE REAR, AND A 7' POI DUE ALONG THE SIDES OF SUBJECT PROPERTY. CURVE VOF c AT LOT 78 209 Sir Lawrence Drive n t Sanford. FL 32773 LEGEND OR Book = Official Record Book Pg a Page tom' CC = Covered Concrete FN&D = Found Nag & Disk l ' ' ID : Identification MI= Electric Box V O LB m Licensed Business m — Water Meter FIP = Found Iron Pipe * — Light Pole RR = Found Iron Rod Wr = Telephone Riser C/ S = Concrete Slab IN- Transformer SIR = Set %' Iron Rod F/E - Pod Equipment n Cop LB/7788 ©= Cable TV Riser tL O SECC = Screen Enclosed Covered Concrete V 1- ? i O N F Cr D. OUJOB #: VLSR15-11396 CLIENT#* 1511296 FIELD DATE: 7/20/15 CREW: BC DRAFTER: DF APPROVED: JEW SCALE: V - 30' eonowefs AcItnwAedgment eomowefs A&AOMedpment and Aamptanoe and Acceptance c O a 3W s 5 a c 0 MNjrl(, N t OJ LOT 80 Iz 1l1 be 510e FOUND — — — X' CUT oW44 NO ID r:oj N 9 '00 o r, 26. 3' 1 I I I I I I I I I I I 10. 0' FIR' NO II 225 9I LOT 74 5T3` — AMEN tI 0.0' I DUE 10. 0' DUE ILD_ INCI 4' CHAIN LINK o FENCE I TYPICAL) L — — — — — FWK-.- LOT81i0o — — cF 6' WOOD FENCE TYPICAL) 8 I I I 45. 0' I I o ^ atl 0A/ C w FOUND c r N 90100,00" 11 110.00 r SIR LOT 73 X" CUT FENCEi TYPICAL NO ID O UI 30. 0' LOT 82 I I L- egalJesCr; ;on Cpet Oe 800k 491o) Faye ISSS) Lot Sir a.'e e iear.J %//aye Su6di ision, a -avlae of Loge Afary/ Esfufes and L4e Mcdy C5eaees eeC, e.ae,oAa/ Area, aCCordiny ec, the yiae eheYeof aS recorded in P/ae Boot; 19, Payes y fhrou h G i C/uSi e o file Pub/iC eCordS of Seipino% CouriLy/ f%rida. Note: Improvements were not verified upon Re —Certification. CERTIFIED TO: (AS FURNISHED) Amanda J. Deem and Craig A. Murphy Movement Mortgage LLC OCP Tilde, LLC Old Republic National Title Insurance Company FLOOD ZONE SUBJECT PROPERTY SHOWN HEREON APPEARS TO BE LOCATED IN FLOOD ZONE' X'. AREAS DETERMINED TO BE OUTSIDE THE SO&YEAR FLOODPLAIN. PER F.I.R.M. PANEL NUMBER 12117C0070F. LAST REVISION DATE 928I07. (PER MAPWISE WEBSITE). THIS SURVEYOR MAKES NO GUARANTEES AS TO THE ACCURACY OF THE ABOVE INFORMATION. THE LOCAL REMA AGENT SHOULD BE CONTACTED FOR VERIFICATION. LIST OF POSSIBLE ENCROACHMENTS: CIS LIES PARTIALLY WITHIN EASEMENT AREA A/ C LIE COMPLETELY WITHIN EASEMENT AREA SOME UTILITIES LIE OUTSIDE OF EASEMENT AREA FENCES AND SIDEWALK CROSS PROPERTY LINE OWNERSHIP OF FENCES HAS NOT BEEN DETERMINED. BASIS OF BEARING BEARINGS ARE BASED ON THE EAST RIGHT-OF-WAY OF SIR LAWRENCE DRIVE WHICH HAS A BEARING OF N 00'00'00' E PER PLAT. NOTES 1. Underground utility Inslalladons, underground Improvements, foundations and/or other underground structures were not located by INS survey. 2. The purpose of this survey is for use in obtaining titia Insurance and financing and should not be used for construction purposes. 3. Additions or deletions to this survey by anyone other than the signing party or parties is prohibited without the written consent of the signing parry or parties. 4. The property shown hereon Is subject to ad easements, restrictions and reservations which may be shown or noted on the record plat and within the public records of the county the subject property Is located. This survey orgy depicts survey related information such as easements and setbacks that are shown on a record plat or have been furnished to the Surveyor. 5. Building des and dimensions for Improvements shoud not be used to reconstruct boundary lines. THIS SURVEY IS PREPARED FOR THE EXCLUSIVE USE AND BENEFIT OF THE PARTIES LISTED HEREON. LIABILITY TO THIRD PARTIES MAY NOT BE TRANSFERRED OR ASSIGNED. LB 7788 VIS10N LAND 941 S Pennsylvania Ave. Winter Park, FL 32789 1 (888) 399-8474 SURVEYOR' S CERTIFICATE I HEREBY CERTIFY THAT THIS SURVEY IS A TRUE AND ACCURATE 89AfINiDER MDIRECTION.JN. REPRESENTATION OF ASU`R V.eGqO1pQji Stnn .E..., Nfy6. r;O TNO. Sm r' z STATE OF AN• z FLORIDAJoseph E. Williamson, LS'ry1 '•• . 1* %%` DATED: 7120/ 15 PROFESSIONAL LANDSURVEI CJI' il tl111` FLORIDA REGISTRATION #6573 NOT VALID WITHOUT THE ELECTRONIC SIGNATURE AND/OR ORIGINAL RAISED SEAL OF THE LISTED FLORIDA LICENSED SURVEYOR AND MAPPER DATE REVISION DATE REVISION 9/14/15 1 Revise Carts