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Home My WebLink About821 Escambia DrC ErVED MAR 01 2016 BY: CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: I Documented Construction Value: $ 3. o0c) Job Address:., I EU) Q lac-I-L,,q, So-)4C, - Parcel ID: Historic District: Yes NoA, ResidentialX—Commercial Type of Work: New IN Addition Alteration Repair Demo Change of Use Move Description of Work: ': Roo- ' , -C-11 1 nIA-1 -P— Plan Review Contact Person: Phone: Fax: Email: Title: Pro/pe y Owner Information Name /7 L n Phone: a.1 S 7 91 bt Street: c l (= Nl G( j p(Iylx- Resident of property? IG., ,. e City, State Zip: r- Contractor Information Name IL jQ Street: City, State Zip: Phone: Fax: State License No.: Architect/Engineer Information Name: /i/ Phone: Street: City, St, Zip: Bonding Company: Address: 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: 511 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 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. a,6, y - Signa f( wrier/Agent Date J, L , D PrinVdivner/Agent's Name n V//-/::: Signature of Contractor/Agent Date Print Contractor/Agent's Name Signature of v Signature of Notary -State of Florida Date ANNETTE SCOTT S Notary Public - State of Florida 2' • . •q My Comm. Expires Jan 16, 2018 E g Commission # FF 071760 Bonded Thf0* National Notary Assn. Owner/Agent is s MrtmMelur Contractor/Agent is Personally Known to Me or Produced ID Type of ID Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing[] Gas Roof Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No APPROVALS: ZONING: ENGINEERING: COMMENTS: of Heads UTILITIES: FIRE: Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application SCPA Parcel View: 31-19-31-508-1900-0140 OnvfdJohn30ri,CIRA Property Record Card PROPERTYParcel: 31-19-31-508-1900-0140 PIMI— sm Owner: LIBERA AARON IN SARAH 9EMINOLECOLINW. FLORIDA Property Address: 821 ESCAMBIA DR SANFORD, FL 32771 Parcel: 31-19-31-508-1900-0140 Property Address: 821 ESCAMBIA DR Owner: LIBERA AARON & SARAH Mailing: 821 ESCAMBIA DR SANFORD, FL 32771 Subdivision Name: SAN LANTA 2ND SEC Tax District: Si-SANFORD Exemptions: 00-HOMESTEAD (2008) DOR Use Code: 01-SINGLE FAMILY C f 13 14 i 15 16 Sales Value Summary Pagel of 2 2016 Working Values 2015 Certli Values Valuation Method Cost/Market Cost/Mark( Number of Buildings 1 1 Depreciated Bldg Value 57,851 56,675 Depreciated EXFT Value 1,160 1,160 Land Value (Market) 15,651 15,651 Land Value Ag st/ Market Value 74, 662 73,486 Portability Adj Save Our Homes Adj 3,825 3,141 Amendment 1 Adj Assessed Value 70,837 70,345 Tax Amount without SOH: $ 2015 Tax Bill Amount $ Tax Estimator Save Our Homes Savings: Does NOT INCLUDE Non Ad Valorem Assessments Description Date Book Page Amount Qualified Vac/Imp WARRANTY DEED 5/1/2007 06693 1041 179,000 Yes Improved WARRANTY DEED 9/1/2006 06419 0490 134,000 Yes Improved WARRANTY DEED 1/1/1974 01006 0367 20,900 Yes Improved Find Comparable Sales within this Subdivision http:// www.scpafl.org/ParcelDetaillnfo.aspx?PID=31193150819000140 3/ 1 /2016 Iv THIS INSTR"ENT PREPARED] BY: Name: , &1M(jj l Address:=t,:6 ll tn/ 1 n tOTL NOTICE OF COMMENCEMENT State of Florida County of Seminole / / Permit Number: 16-- C65-5 MARYANNE HORSEY SEMINOLE COUNTY CLERK OF CIRCUIT COURT Z, COMPTROLLER BK 8641 Ps 1148 (1F'ss ) ". CLERK'S 4 2C116021684— 1 il RECORDED 1)3/1311/201.6 k1:5524° AN RwC:ORDINEi NtA) 11IG RECORDED BY hde'.•,lra_ Parcel ID Number: 3(' t 1, 31. Sw q" The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. DESCRIPTION OF PROPERTY: (Legal description of the property and street addripss if available) F'= ce1•r'A Fes. t c 1'v2 c nl-r t FL ;a-7 /. ,_. _. - - - 6 Cof life'.b'll l9/// l.Ckllr _U'C•., ill.-,: I.,•. hl iVORSE t, 4-•'' GENERAL DESCRIPTION OF IMPROVE ENT: CON"' lt.'R SEIVRhO. F C0l', ' J'. F- 00 S rJ I •... , u' iY l,' crFly- OWNER INFORMATION: ` i Name: fI aJ Can, , S6614 L,'k G= l U[ j f Address: ' Ell FSGr-i-JL AI Fee Simple Title Holder (if other than owner) Name: n i t—r-r-c[ 1 G Address: CONTRACTOR: Name: 141Z Address: Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(b), Florida Statutes. Name: Address: In addition to himself, Owner Designates of To receive a copy of the Lienor's Notice as Provided in Section 713.13(1)(b), Florida Statutes. Expiration Date of Notice of Commencement (The expiration date is 1 year from date of recording unless a different date Is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalties of perjury, 1 declare,that 1 have read the foregoing and that the facts stated in it are true to 1t6e best of my kno dge Ind belief. Owners Signature Owner's Printed Name Florida Statute 713.13(1)(g): 'The owner must sign the notice of commencement and no one else may be permitted to sign In his or her stead State of t l. i Countyof The foregoing Instrument was acknowledged before me this SF day of JkA(11 rC_ r 1 .20 I by G' i(C'•t (,l iJ Lti ber-a . Who Is personally known to me Name of person making statement CJByho_las produced identification type of identification produced: Y°; ANNETTE SCOTT Notary Publk - State of Florida My Comm. Explrett Jan 16, 2018 Zvi L Commission rk FF 071760 Notary Slgilalure ollph N ffonal Not Bonded TirearyAssn. M City of Sanford Roof Permit Application Checklist All permit application packages must be complete prior to acceptance. You must check each box to the left or indicate n/a on this submittal. A complete application package shall include the following: M1- Building Permit Application completed, signed and notarized. Application must include correct address and complete parcel I.D. number. 11N,'4' Copy of applicable contractor's license issued by the State of Florida (if the contractor is the applicant). AA site specific notarized power of attorney shall be 'required from the licensed contractor if he/she appoints an employee of his/her company to sign the permit application as the contractor. J'4Certifiicate of insurance indicating worker's compensation insurance coverage and naming the City of Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State ofFlorida (must be submitted with each application if contractor is the applicant). 1/Completed and signed Owner Builder Statement / Affidavit (if the owner is the appfi6anit). These guidelines were compiled to assist the applicant in preparing a roof permit application and may not be complete. The applicant is required to meet all City of Sanford, state, andfederal. code requirements. 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 zoniniz 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. ensed 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: Cs L l \j 1, a / 14 , do herebystate that I am qualified and capable of performing the requested construction involved with the permit application filed and agree to the conditions specified above. J K 3 6 Signature of Owner -Builder ate Form of Identification C Ll C . Must be Photo ID) 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. 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. t 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. 1 understand that my failure to follow these laws may subject me to serious financial Rev. 9.14.2009 CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: hereby acknowledge that I personally inspected oof deck nailing and/or esecondary water barrier work at /?)- l2 %> and have determined that the work Job Site Address) was done according to the Hurricane Mitigation Retrofit Manual. (based on 553.844 F.S.) I certify that my statements herein are true and accurate to the best of my belief and that I fully understand that making any false statements in writing with the intent to mislead a public servant in the performance of his or her official duty shall constitute a misdemeanor of the second degree pursuant to Sect' n 837.06 F.S. Signatee of Contractor Date Printed Name of Contractor License # License Type: General Building Residential Roofing Contractor or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF ._JL Sworn to (or affirmed) and subscribed before me this day of120 V-6 , by who is Personally Known to me or has Produced (type of ident' cation) as identification. SEAL) Signature of Notary Public State of Florida r ClxisWtw H. Talk Q_4A9--% A—P%_-- NOTARY PUBLIC Print/Type/ Stamp Name STATE OF FLORIDA of Notary Public Corr m# FF92MIE)#res 10N3120193