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Home My WebLink About904 S Park AveCITY OF SANFORD BUILDING & FIRE PREVENTION C]EX T PERMIT APPLICATION F D JAN g 2016 Application No:— (,p ` 3 o0FrBY_ - ocumented Construction Value: $ goo Job Address: %% S Historic District: Yes No Parcel ID: Residential R Commercial Type of Work: New nAddition Alteration Repair Dem/o Change of Use Move Description of Work: , A/Cjgr_ 0,/0 S%-- 6- Plan Review Contact Person: V(/ (41j Title: Phone: Fax: Email: J CS 6Z 6L,C Property Owner Information Name Street: Ci/. 2 C,6?A2, d G7— City, State Zip: ZdIL) 706$zf2 .3-2-7 7 / Name Street: City, State Zip: _ Name: Street: City, St, Zip: Bonding Company: Address: Phone: /'-27 l —2_ l 6Z Resident of property? : Contractor Information 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 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: 51 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 maybe found in the public records of this county, and there may be additional permits required from other govemibental 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 w' h all applicable laws regulating construction and zoning. z- 1 6X/Agent Dat Signature of Contractor/Agent Date W (-3 0- S'(f PriarOwner/Agent's Name r45_Nbiar L=State.otl:IRfida, _ DateANAFT1• J y : a Notary Public • S,dic i My Comm. Expires Commiss,w x 9fOi Fl ftWed Throuyr, rase. Al Produced ID Type of ID Print Contractor/Agent's Name DO Signature of Notary -State of Florida Date or 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: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No APPROVALS: ZONING: ENGINEERING: COMMENTS: of Heads UTILITIES: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application SCPA Parcel View: 04-20-30-513-0000-0460 Pagel of 2 Q.vtcl Je. Y dnrtyon, CFiA Property Record Card CSEM34OLF-0OUPM,FL0FVQA ROP Parcel: 04-20-30-513-0000-0460 aI,a ISER Owner: GAINES ZACHARY P & SONJA Property Address: 114 GOLFSIDE CIR SANFORD, FL 32773 Parcel: 04-20-30-513-0000-0460 Property Address: 114 GOLFSIDE CIR Owner: GAINES ZACHARY P & SONJA Mailing: 114 GOLFSIDE CIR SANFORD, FL 32773 Subdivision Name: MAYFAIR CLUB PH 1 Tax District: SI-SANFORD Exemptions: 00-HOMESTEAD (2013) DOR Use Code: 01-SINGLE FAMILY 4r4' 4 "," A"a-racers ,,:.. n 46 47i-.-=:. x fir-', Rd.'d;4 ^" ;x,.r-",`Ftk;.>.•.w c;,,.... PP G:r Value Summary 2016 Working Values 2015 Certil Values Valuation Method Cost/Market Cost/Mark( Number of Buildings 1 1 Depreciated Bldg Value 125,177 120,944 Depreciated EXFT Value Land Value (Market) 25,000 25,000 Land Value Ag Just/ Market Value 1 $150,177 145,944 Portability Adj Save Our Homes Adj $38,282 $34,827 Amendment 1 Adj Assessed Value $111,895 $111,117 Tax Amount without SOH: $2, 2015 Tax Bill Amount $1, ITax Estimator Save Our Homes Savings: $ Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 46 MAYFAIR CLUB PH 1 PB53PGS7& 8 Taxes Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 111,895 50,000 E Schools 111,895 25,000 f City Sanford 111,895 50,000 f SJWM( Saint Johns Water Management) 111,895 50,000 f County Bonds 111,895 50,000 f Sales Description Date Book Page Amount Qualified Vac/Imp WARRANTY DEED 3/1/2012 07738 1357 115,000 Yes Improved CORRECTIVE DEED QUIT CLAIM DEED 2/ 1/2012 1/ 1/2012 07724 07700 1686 1379 100 100 No No Improved Improved QUIT CLAIM DEED 8/1/2010 07441 1387 18,700 No Improved http:// www.scpafl.org/ParceiDetaillnfo.aspx?PID=04203051300000460 1/28/2016 SCPA Parcel View: 04-20-30-513-0000-0460 Page 2 of 2 SPECIAL WARRANTY DEED 111/1/1998 03548 10780 I 114,400 I Yes I Improved Find Comparable Sales within this Subdivision Land Method Frontage Depth Units Units Price Land Value LOT 1 25,000.00 Building Information Description Year Built Actual/Effective Fixtures Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages 1 SINGLE FAMILY 1998 7 1,874 2,290 1,874 CB/STUCCO FINISH 125,177 133,879 Description I OPEN PORCH FINISHED GARAGE FINISHED Permits Permit # Type Agency Amount CO Date Permit Date 02490 Addition - Residential Sanford 3,225 5/5/2005 00449 Addition - Residential Sanford 999 11/1/1998 02023 New - Residential Sanford 82,540 11/24/1998 5/1/1998 Extra Features Description Year Built Units Value New Cost No data to display http://www.scpafl.org/ParcelDetaillnfo.aspx?PID=04203051300000460 1/28/2016 SCPA Parcel View: 31-19-31-504-0600-0090 Pagel of2 anAd Johnson. CFA Property Record Card PROPERTY Parcel: 31-19-31-504-0600-0090 APFPRMSER Owner: STEWART RUSSELL Seth I COUNTY, F OAID,A Property Address: 1817 S SUMMERLIN AVE SANFORD, FL 32771 Parcel:31-19-31-504-0600-0090 1 Property Address: 1817 S SUMMERLIN AVE Owner: STEWART RUSSELL Mailing: 3230 EAST BAY DR #109 HOLMER BEACH, FL 34217 Subdivision Name: BEL-AIR SANFORD Tax District: Sl-SANFORD Exemptions: DOR Use Code: 01-SINGLE FAMILY Value Summary 2016 Working Values 2015 Certil Values Valuation Method Cost/Market Cost/Mark( Number of Buildings 1 1 Depreciated Bldg Value 20,936 20,301 Depreciated EXFT Value Land Value (Market) 8,440 8,440 Land Value Ag Just/Market Value 29,376 28,741 Portability Adj Save Our Homes Adj 0 0 Amendment 1 Adj 0 0 Assessed Value 29,376 28,741 Tax Amount without SOH: $ 2015 Tax Bill Amount $ Tax Estimator Save Our Homes Savings: Does NOT INCLUDE Non Ad Valorem Assessments Legal Description S 46 FT OF LOT 9 + N 7 FT OF LOT 10 BLK 6 BEL-AIR PB 3 PG 79 & 79A Taxes Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 29,376 0 Schools 29,376 0 City Sanford 29,376 0 SJWM(Saint Johns Water Management) 29,376 0 County Bonds 29,376 0 Sales Description Date Book Page Amount Qualified Vac/Imp CERTIFICATE OF TITLE 9/1/2007 06810 0021 100 No Improved WARRANTY DEED 4/1/2005 05687 1340 75,000 Yes Improved WARRANTY DEED 9/1/2003 05030 1103 25,000 Yes Improved http://www.scpafl.org/ParcelDetaillnfo.aspx?PID=31193150406000090 1/28/2016 I I I SCPA Parcel View: 31-19-31-504-0600-0090 Page 2 of 2 QUIT CLAIM DEED 7/1/2003 05030 1102 25,000 No Improved FINAL JUDGEMENT 2/1/2002 04336 1038 100 No Improved WARRANTY DEED 2/1/1999 03605 1407 27,000 Yes Improved WARRANTY DEED 12/1/1992 02526 1105 28,000 No Improved QUIT CLAIM DEED 2/1/1978 01158 0057 1,100 No Improved WARRANTY DEED 2/1/1978 01158 0056 7,500 Yes Improved i-ina comparable sales witnin this subdivision Land Method Frontage Depth Units Units Price Land Value FRONT FOOT & DEPTH 53 120 0 $175.00 Building Information Description Year Built Fixtures Base Area Total SF Living SF Ext Wall Adj Value Repl Value AppendagesActual/Effective 1 SINGLE 1954 3 725 1,005 725 SIDING 20,936 38,066 Description IFAMILYGRADE3 OPEN PORCH UNFINISHED Permits Permit # Type Agency Amount CO Date Permit Date 01558 Miscellaneous Sanford 2,300 6/3/2013 99997 Requested Recheck - Residential County 0 1/1/2008 Extra Features Description Year Built Units Value New Cost No data to display http://www.scpafl.org/ParcelDetaillnfo.aspx?PID=31193150406000090 1/28/2016 I,.11 S. ri SCPA Parcel View: 25-19-30-5AG-1104-OOIB Page 1 of 2 Ctxvld Jo} rmc>n. CFA PR13PERT1o? AI IPRAISER SEMMLL COUNW. FLOA10A Property Record Card Parcel: 25-19-30-5AG-1104-001 B Owner: SCALES JOHN C Property Address: 904 S PARK AVE SANFORD, FL 32771-2541 Parcel: 25-19-30-5AG-1104-0016 Property Address: 904 S PARK AVE Owner: SCALES JOHN C Mailing: 900 CROOKED OAK CT LONGWOOD, FL 32779- Subdivision Name: SANFORD TOWN OF Tax District: Sl-SANFORD Exemptions: DOR Use Code: 0102-SINGLE FAMILY - SANFORD HISTORICAL DISTRICT 0 Value Summary 2016 Working Values 2015 Certil Values Valuation Method Cost/Market Cost/Mark( Number of Buildings 1 1 Depreciated Bldg Value 34,838 34,106 Depreciated EXFT Value 600 600 Land Value (Market) 10,530 10,530 Land Value Ag Just/Market Value 45,968 45,236 Portability Adj Save Our Homes Adj 0 0 Amendment 1 Adj 0 0 Assessed Value 45,968 45,236 Tax Amount without SOH: $ 2015 Tax Bill Amount $ Tax Estimator Save Our Homes Savings: Does NOT INCLUDE Non Ad Valorem Assessments Legal Description S 50 FT OF LOT 1 (LESS W 5 FT OF N 41 FT) BLK 11 TR 4 TOWN OF SANFORD PB 1 PG 59 Taxes Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 45,968 0 Schools 45,968 0 City Sanford 45,968 0 P SJWM(Saint Johns Water Management) 45,968 0 1 County Bonds 45,968 0 Sales Description Date Book Page Amount Qualified Vac/Imp TAX DEED 1/1/2014 08208 1281 10,300 No Improved WARRANTY DEED 6/1/1998 03455 1534 19,100 1 No Improved WARRANTY DEED 11/1/1994 02868 1213 11,800 No Improved http://www.scpafl.org/ParcelDetaillnfo.aspx?PID=2519305AGI 104001B 1 /28/2016 SCPA Parcel View: 25-19-30-5AG-1104-OOIB Page 2 of 2 PROBATE RECORDS 3/1/1994 02749 0096 100 No Improved PROBATE RECORDS 1/1/1993 02536 1817 100 No Improved QUIT CLAIM DEED 1/1/1985 01617 0280 100 No Improved Find Comparable Sales within this Subdivision Land Method Frontage Depth Units Units Price Land Value FRONT FOOT & DEPTH 50 67 0 $270.00 I $: Building Information Description Year Built Actual/Effective Fixtures Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages 1 SINGLE 1935/1960 3 896 896 SIDING 34,838 55,740 Description I FAMILY GRADE 3 No data to disl Permits Permit # Type Agency Amount CO Date Permit Date 01561 Miscellaneous Sanford 2,450 5/6/2015 01728 Addition - Residential Sanford 0 5/1/2001 Extra Features Description Year Built Units Value New Cost FIREPLACE 1 6/1/1935 1 I $600 http://www.scpafl.org/ParcelDetailInfo.aspx?PID=2519305AGI 104001B 1 /28/2016 I LIB, ,L1L 1j r----------------I I ci n i i I I I JA N Z I I I 8 2016 zo I 57.00'(R&M) I FI 2_. r:,.——mot, FD4 CM II I OUF2 4' I NEIGH 6' WOOD WIREI aF' 00! lco I I w cn OI o 124ArO Y F.`' G 50• 9.4' J I a O : C d rr 2' oz IO x1 ( O U I Q Z CC J. OOt 8.07' i-rt 3' t° Lo I R M) _ i2 ,40 "; 5:O;r,-'t;2_3 i ° f 'v I o FIP 1/ • vt e `*. - ._ jr .: u 6.73' v ?' m O ;; C7 I N to FIP 1 / °° . ki 2" "' fir: :cIZPO` Q I O FD4 CM NEIGH 6' D - " FIP 1/2' 41.00' O o wooD g2, OOI(R&M) c Irn Io I FRB 1/2" BLOCK _ CORNER GVNCNL-IE NRtL TENCC CHTAN CWJttDIANCENI PauP:P PCRuwLM AEfCRCH,,L u QUENTPERUgEI4COMRMpoll Cu COtICRElC MONWCM c— trOC'u RNCC CORNER 0 DELIA POB PW.4 Q BEpwIwC FO A/r• OOND 1 RC-Or_WATPROPEMLINERADVSRARCLENGTHPOCPO.Y Of COMMETICEMENt POIt1I W CURv[ ORB C n=q RECORD BDOK ^ Q QN:ERLU7E RECORD N/0CL NAIL AND D9C CLEAR PC PONT or QIRVAIVRE REL RMSHED FLOOR CLEVATN)N M; FIELD MEASURED CP rove CNCR ENCR04CWENI PIPI POWs Oi HIERSCCIpN POtHT Or TANGEN Y HIS VT. 10 SCALE IeCONCRLIEp= SRB SET t/j D—LIER RLlaAR FIP rR0 FOUND IRON PIPE f0UN0 aCeut PRCPCC POrA Or REVLRSC CURY[ PONA Or COMPOUND z, K'/ N aN NY.iN Tw. IYPtFjI MDR[ OR LESS Nra. OUR 2"ORING PROPERTY suaxn vROPcatT D.V.C. V.C. DRAntAGC Y VIRJIY CASCYCHiUTILITYE/ASEMCNI SI SOUTH Sj EAST B) 1 VALID UNLESS SC.NATURC IS CU9=M KITH THE 7) R CSTERED LAND SURVEYORS SE/... AL DESCRIPTION PaO4 BT DTMM B) M 9) DPERTtCS S—w "Mom wERE NOt AmIRACTED FOR Ui tf ON THE EnZ RECORDDEG [lY1RT9RANCES NOTPROPERLYPLATOFRECORD. 10t13 D• ARE PER PLAT CNLLSSLRNISENNO7-_p9—N MRCRONNO UIM1ATLS, iOUNpt1gN5, OR OTHER IZ) it Et ROVCMEMS. V AN>f WERE NOT LOFATm, s1tONs, tF SHOWN ARE DCSED ON Ma*igAL CEODCIIC u 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 asemployers. 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: I, lti {q L , do hereby state that I am qualified and capable of performing the requested construction involved with the permit application filed and agree to the conditiorrssvecified above. _ of Owner -Builder Form of Identification I G i Z/6;-ILIN—c 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 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 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 .