HomeMy WebLinkAbout904 S Park Ave (2)CITY OF SANFORD
BY:
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
2ApplicationNo:' J
oD
ocumented Construction Value: $O0
Job Address: go S/, qKHistoric District: Yes 0 No Parcel
ID: Residential R Commercial El Type
of Work: New Addition Alteration Repair De m/o Change of Use Move Description
of Work: 1 C /52_6/!Je_ 0fl% Plan
Review Contact Person: 0 c j ' Title: Phone:
Fax: Email: J CSg"C Z 2 6L c I
Property
Owner Information Name
C J v _5_ Street:
9& 622/e d_ City,
State Zip: L (/JC, z--2 , 32-7 7 Name
Street:
City,
State Zip: Name:
Street:
City,
St, Zip: Bonding
Company: Address:
Phone: /'-
275 -2-q / 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: 51h 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 property1hat maybe
found in the public records of this county, and there may be additional permits required from other governtlnental etbtities 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.
ignature of Owner/Agent Dad Signature of Contractor/Agent Date
0- se
Pr iitwner/Agents
Name c /
I / /
Print Contractor/Agent's
0Namenn- f A 1 , c.+ ( 1 20
d _N6tar3r.State.DtELQdda ., • _ 2 Date
Notary Public -
z My Comm. Expires
Commiss,n, o
Bonded Thruugn
or
Produced ID Type of ID
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:
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
11:11"dJc>hr zon,CFA Property Record Card
pROp 41 Parcel: 04-20-30-513-0000-0460
I"SER Owner: GAINES ZACHARY P & SONJACWOLEOOUMN FLOA10A Property Address: 114 GOLFSIDE CIR SANFORD, FL 32773
Parcel: 04-20-30-513-0000-0460 1
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
f4445 _ 46 7 k vim'•— .'
4 ais' 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 150,
177 145,944 Portability
Adj I
Save Our Homes Adj $38,282 $34,827 R
Amendment
1 Adj Assessed
Value $111,895 $111,117 i
Tax
Amount without SOH: $2, i •
2015 Tax Bill Amount $1, Tax
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 i City
Sanford 111,895 50,000 E SJWM(
Saint Johns Water Management) 111,895 50,000 I 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/ParcelDetailhifo.aspx?PID=04203051300000460 1/28/2016
11M 1 1i 1 I11
SCPA Parcel View: 04-20-30-513-0000-0460 Page 2 of 2
SPECIAL WARRANTY DEED 111/1/1998 103548 10780 I 114,400 I Yes I Improved
Find Comparable Sales within 1his 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 Page 1 of 2
d'avldJohnson. CFyA Property Record Card PROPERTY
Parcel: 31-19-31-504-0600-0090 APPRMSER
Owner: STEWART RUSSELL G941NOLECOUNTY..
FLO 10A Property Address: 1817 S SUMMERLIN AVE SANFORD, FL 32771 I
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 j $0 j $0 Assessed
Value 1 $29,376 1 $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 S46FTOFLOT
9+N7FT OF LOT
10BLK6 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
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
Find Comparable Sales within this Subdivision
Land
Method Frontage Depth Units Units Price Land Value
FRONT FOOT & DEPTH 53 120 0 $175.00
Building Information
Description
Year Built
Actual/Effective
Fixtures Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages
1 SINGLE 1954 3 725 1,005 725 SIDING 20,936 38,066
Description I
FAMILY GRADE 3
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 I Year Built I Units I Value I New Cost
No data to display
http://www.scpafl.org/ParcelDetaillnfo.aspx?PID=31193150406000090 1/28/2016
SCPA Parcel View: 25-19-30-5AG-1104-OO1B Pagel of 2
OPT"SER
Ad' Johnson. CFA Property Record Card
PQPEWIV Parcel: 25-19-30-5AG-1104-001B
Owner: SCALES JOHN C
COl NW,,FLORIDA Property Address: 904 S PARK AVE SANFORD, FL 32771-2541
I Parcel:25-19-30-5AG-1104-001B I
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
Value Summary
2016 Working
Values
2015 Certil
Values
Valuation Method Cost/Market Cost/Marke
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
PB1PG59
Taxes
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 45,968 0 V
Schools 45,968 0 1
City Sanford 45,968 0 4
SJWM(Saint Johns Water Management) 45,968 0 1
County Bonds 45,968 0 9
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 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
I 1 1.r1 I I I I I I 111 I
SCPA Parcel View: 25-19-30-5AG-1104-00113 Page 2 of 2 PROBATE RECORDS 3/1/
1994 02749 0096 100 1 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 I Frontage
I
Depth ( Units I Units Price I Land Value FRONT FOOT & DEPTH 1
50 1 67 1 0 1 $270.00 1 $: Extra Features http://www.
scpafl.org/
ParcelDetailInfo.aspx?PID=2519305AG 11 O400113 1/28/2016
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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:
I, Z::n f+ w C 15_6q5 , do hereby state that I am qualified and
capable of performing the requested construction involved with the permit application filed and agree to the conditioirssuecified
above. of
Owner -Builder Form
of Identification 1 G Zee_( kcir, Must
be Photo ID) 2-
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 .