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Home My WebLink About621 S Park Avet:1R ECEI`TED CITY OF SANFORD FEE 16 2016 BUILDING & FIRE PREVENTION PERMIT APPLICATION aF: `D BY: Application No: /1 5zala Documented Construction Value: S %SU , 06 Job Address: 6 1 5 - MA A4e Historic District: Yes 9-90 Parcel ID: 2S -1 CI --5o -Si%c, -OyO--ol0o, Residential 0tommercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: _ we-, P?Ust-we, W rJ R2!4 Plan Review Contact Person: (GC-f&A- fyV%-(,L Title: Phone: 165 -3W 1(I/7 Fax: Email:_ JKNAAt:Jcr d Property Owner Information Name AngAlgfl/k N A't L - Street• City, State Zip: Phone: &63-2-Y-3-92-01 Resident of property? : '`(CS Contractor Information - - Name M (C_QftCL AFYK - Phone: 1,43 -3qq-Iq/1 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 Pennit Application NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may befoundinthepublicrecordsofthiscounty, 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. eIIJ llv J 2 6 S ature of 0 / gent t D e M Ic HA &-(- t s C Print mer/Agent's Name ICS' nature of Nota tate of Florida Date LISA ANTONINI Notary Public - State of Florida My Comm. Expires May 21, 2018 Me or 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: Flood Zone: of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application Y•IfilY,lli TAY;II ll'111 7 I IIuf llYWli'll/1 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) Rev. 9.14.2009 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 MJ 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 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 Address:_ C) z- _ AUS AJ E- L M IOwt Ili "L 'do hereby state that I am qualified and capable of perf rming the requested construction involved with the permit application filed and agree to the conditions skecki`ed above. zi 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 I 01 ! SII P' SCPA Parcel View: 25-19-30-5AG-0803-0100 Page 1 of 2 Ck vidJohnaon.CFA Property Record Card cpsam Parcel; 25-19-30-5AG-0803-0100 Owner: NALL AMANDA uvoL>rcouNTV FLoa;on Property Address; 621 PARK AVE SANFORD, FL 3 277 1-193 6 Parcel: 25-19-30-5AG-0803-0100 Property Address: 621 PARK AVE Owner: NALL AMANDA Mailing: 621 S PARK AVE SANFORD, FL 32771 - Subdivision Name: SANFORD TOWN OF Tax District: Sl-SANFORD Exemptions: 00 -HOMESTEAD (2016) DOR Use Code: 0102 -SINGLE FAMILY - SANFORD HISTORICAL DISTRICT r 10 f a Legal Description LOT 10 BLK 8 TR 3 TOWN OF SANFORD PB 1 PG 59 Taxes Value Summary Tax Amount without SOH: 2016 Working Values 2015 Certified Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value 162,420 158,495 Depreciated EXFT Value 800 800 Land Value (Market) 15,390 15,390 Land Value Ag Just/Market Value 178,610 174,685 Portability Adj 128,610 128,610 Save Our Homes Adj $0 _ Amendment 1 Adj - Assessed Value $178,610 0 0 174,685 Tax Amount without SOH: 3,555.09 2015 Tax Bill Amount 3,555.09 Tax Estimator Vac/Imp Save Our Homes Savings: 0.00 Does NOT INCLUDE Non Ad Valorem Assessments 128,610 Sales Description Date Taxing Authority Assessment Value Exempt Values Taxable Value Vac/Imp County General Fund 178,610 50,000 128,610 Schools - ^ -- - - 178,610-- - - 25,000 - - -- 153,610 City Sanford 178,610 ; 50,000 128,610 0539 SJWM(Saint Johns Water Management) 178,610 178,610 r 50,000 50,000 128,610 128,610CountyBonds - Sales Description Date Book Page Amount Qualified Vac/Imp WARRANTY DEED! 5/1/2015 08473 1891 200,000 ;Yes Improved i FINAL JUDGEMENT 4/1/2013 08004 0539 100 I' No Improved WARRANTY DEED rt 8/1/1990 02214 1834 i $95,000 Yes Improved Find Comparable Sales within this Subdivision Land Method Frontage Depth Units Units Price Land Value FRONT FOOT & DEPTH 57 117 1 0 $270.00 { $15,390 Building Information Description Year Built Fixtures Base Area Total SF Living SF Ext Wali Adj Value Repl Value AppendagesActual/Effective 1 I SINGLE i 1910/1970 7 1,327 4,490 i 3,172 SIDING { $162,420 ; $219,486 FAMILY ! GRADE 3 ` Description Area http://www.scpafl.org/ParcelDetaillnfo.aspx?PID=2519305AGO80301O0 2/16/2016 Ilk' 'I'LIL—Iiij— SCPA Parcel View: 25-19-30-5AG-0803-0100 1 I i i Permits SCREEN 91 PORCH FINISHED OPEN PORCH 734 FINISHED BASE SEMI- 154 FINISHED UPPER STORY 1198 FINISHED BASE 493 t I GARAGE ' 493 UNFINISHED Permit # Type Agency Amount CO Date Permit Date No data to display Extra Features Description Year Built Units Value New Cost PATIO 1 { 6/1/19901 I $200 500 F- - --- - -T FIREPLACE 1 6/1/1910 , 1 $600 1,500 1111111111111111114 ISAR http://www.scpafl.org/ParcelDetailInfo.aspx?PID=2519305AGO8030100 2/16/2016 11:1 o Ww11 4 11 7'lIR1 W1877 APPLICATION # 14-5W FOR A CERTIFICATE OF APPOPRIATENESS Answer all the questions on this form and submit all required attachments. Incomplete applications will not be reviewed. If you have questions about application requirements contact the Historic Preservation Officer at 407.688.5145 to ensure your application is complete. General Information Downtown Commercial Historic District[] Residential Historic District Is this a retroactive request? Yes No Is this application filed in response to a Notice of Violation from the Code Enforcement Department? Yes[] No Proposed improvements will affect the following elevations: North South 0 East West Property Ad*dress: 621 S Park Ave Property Owner Information Print Name: Amanda Nall Mailing Address: 621 S Park Ave, Sanford, FL 32771 Phone: 863-243-3201 Email: Mandas0286@hotmaii.com Applicant/Agent Information Print Name: Michael Nall Mailinq Address: 621 S Park Ave, Sanford, FL 32771 Signature: Phone: 863-344-1417 Email: Mike@parkandseventh.com Signature: BY SIGNING BELOW YOU ACKNOWLEDGE THAT A BUILDING PERMIT MAK BE REQUIRED FOR THE SCOPE OF WORK LISTED BELOW. YOU MUST CONTACT THE BUILDING DEPARTMENT TO DETERMINE IF A BUILDING PERMIT IS REQUIRED. FAILURE TO OBTAIN A BUILDING PERMIT WILL RESULT IN A STOP WORK ORDER, DOUBLE PERMIT FEES, AND POTENTIAL FINES. BY SIGNING BELOW, YOU ALSO ACKNOWLEDGE THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND ACCURATE T9 THE BEST OF YOUR KNOWLEDGE. i. , — w - Signature: Ft/]Would youie to receive e Date: 02/10/2016 arding Historic Preservation and Community Planning within your community? Description of proposed work Completely describe the entire scope of work, including changes in material and color, and methods that will be used to accomplish the proposed work. For large projects an itemized list is required. Use the reverse side if necessary. I would like to rebuild the existing wood picket fence using the same materials and colors as it has Become dilapidated due to its age. I will be removing the concrete slab between the current fence And sidewalk and extend the fence to the sidewalk. I would also like to replace the current overhead Garage door with two "craftsman" style swing out doors. They will be made of wood and painted To match the existing color. HISTORIC PRESERVATION BOARD • 300 S. Park Avenue • Sanford, Florida 32771 •407.688.5145 • www.sanfordfl.gov/HP rh 1 11, 11j t ' C W,,„ ud '"y "w," r .°R . l r WWW W N IJ 370 Waymont Court - Lake Mary, FL32746 - Voice 407.688.7631 -Fax 407.688.7691 -sandpsurvcying@gmaii.com Legal Description Lot 10, Block 8, Tier 3, T1OWN0FS4XF0RD, according to the plat thereof, • as recorded in Plat Book 1, Page(s) 59, of the Public Records of Seminole County, FL. Community number: 120294 Panel: 0070 Suffix: FF.LAM. Date: 9/28/2007 Flood Zone: X Date offield work: 5/5/2015 Completion Date: 5/7/2015 I to e"`i - r , ¢" r. r 1s 7 I ofrCerdfiedto: ! 3 I r =1 " r Amanda Hayman; First Signature Tltk Inc.; Old Republic National t1? , , Title Insurance Company, RP Funding Ina, its'successorsand/or 7ocanonl sxF7r assigns as their interests may appear. FlR 5/6' '@1seO°e Q SE CORNER LOT 5 57.05'(M) BLOCK B TIER 3 IV -E 1D' FlP 3/4' 9 dT : DIR7 DRIVE 14' ALLEY H 3x5' FD xcuT 1 ice •rt. ,.--r.°'t a+-- - - - .'.;' 's , 4+: ''. ERPLAT SCALE. 1=30' 14.7'a I1`r: P.P. DRIVE •' • LOT 9 o t BLOCK 8 ^ 4 •!'. TIER .3 Rt 2' is X t, U U n ^ 20.6• s . V 16 LOT 10 mo pRO NED— BLOCK 8 a m 10.5' wTIER 3 to m 1.TWO STORY _" r s 3'X3. ' , RESIDENCE .. t\ A/C rd oa 5.0 c 25'X3tu, .9 9.7 A/C C1 0.4' 4.76. 31.3' 91' 97.11'(M) 1795919 110'(D) g7(0) (M) 109.94'(M) 0---_vt_--t--0– L--JA_--- FCM 4'X4' FIR 1/2' NW CORNER LOT 6 BLOCK 8 TIER 3 m IcoNCONC 8—TRACT) — — N PropertyAadress:_PARK A VENUE 621 Park Avenue 66' R/W (IMPROVED) Sanford; FL 32771 56.97'(M) I 57'(P) Survey number: SL 151740 LEGE NO GENERAL NOTES to Unless otherwise noted, now m 0-0. Wks Fence D.H. 4111 Hob PJLM. intomration provided by oMora Permanent fiefaanco MoneneM 1. Legal description provided by others. 14. SepNC UNA erwd drsinfield IocaVons 17.0• Wood Fence D.U.E. Drainage d Willy Easement P Plat 2. The lass shown haean a not ahstnaed -approximate and MUST be verified by ow-Overhead Ulnitin OAV Ddm y P.B. Plat Book toreasemanaorotlmrrecordederauntvmxs apprepdate Wilily location companies. Power Pole ESMT P.E. Pool Equipment nolshmmcrrthal3Ukw sSspeelfk*n0led. 15.The cI03ure of structures may not be SWASWM. Water Meter EO.P. Forgo of PavameNEdgeof P.O.B. Point of BegirWrg Slkndergmnerdportbm ollectmge,kurrdedena precise due to bu Wing Imperfections Asphalt E.O.W. Edgoof Watar P.C.C. Point of Cammeraament not anddaeora6vatios mayWallseraWall tiner Improvements oftamed the wee. 16. Pools ne or psalm be dawn as Block Wall ENCR Encroachment P.C.C. Point of Co Cmve ean 6. only visible n ro iislocatedepprmdnmean and not tuft' dimensionedofd Briakffl rs xx W Existing Bevation P.C. Point of Curvature S. kkntifkatbn found on Ix°Pe»Y earners eyq%pfria bWshepo. Concrete covered Area F FFieldourFDFound RLP.R.C. Point of IntarsecNonPointofRwersaCurvoturs unless rated. X17; Q^x propemy Bre my be 7. Olmxdons shown e+eplatW p{ Trgqn Centerline FD NBD Found Nan B Disk P.T. Polnt of Tangency unless athaneisa noted. ext of dparlan Kip[ Central wDsitaQAntiLineBreakNottoSeats F.C.M. Folaul Concrete MonumentF.I.P. Found Iron Pipe P.O.L Rad Point on Line Rodlua (RngaQ B. Ttda b a BouNDnRy SURVEY ante sem,'. otherwise a ry NO Air Cartdltioning FJJL Found iron Rod R. Record uted. waled wdh Ms sill8. Notvalidw ' "r • J (.1 B.R. Bearing Roference L Length RMI Fight of Way sot N.Y. s embossed ed dal. Its '^ B.M. Bergh Mark LEL Lkensed Bovines SLR. Set Iron Rod S Cap 10.Whom et embossedead is ldP},'=- rn g Flodde Cobb Riser M Field Mmsured S/W Sift -alk j.' legy' U•17, etd,CATV moefnuremthsleria 173x77,C uCakated Chain Unit Pence M.H. Manhole NSD NaliB Dek TISIRTEL TatnplSamNdTangsTekponaFacilities otsluaerven antrQ NiajCLF. 12.RecerMcaton domdcateuptlalg' ' :•rfl'• 1 i CH Chord N.R. Nan Radlel T.O.B. Top of Bank f:_•. IeuMycus'y0. dunswrryl.eeuemewnes ten' /,,44y myWeoeon. CA Chord Bearing N.TS. Not 7b Scale TX Transformer CONC. Concrete O.R. Official Records TYP. 1ypk:al I t! C.M. Concrete Monumerd O.R.B. Official Records Bank U.E. Uwry EasemaN S ;, •. t. D. Description or Dead PCT. Page WA Wood Fence O.B. Dead Book PVML PavameN W.C. Wine Comer D.E. Drainage EasemarK P.C.P. Permanent Commit Point Ralph SwerdloN Rnl...d Lmds..vey>rasrlf T/}01J/ 1LEL77132 rl\T'-'a