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HomeMy WebLinkAbout2403 S Laurel AveCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION tion No: Y to - I (oto L Documented Construction Value:/, �'�, 00 Job Address: Wzla5 S Li5l//I z /w Historic District: Yes ❑ No El Parcel ID: Residentialg Commercial ❑ Type of Work: New ❑ Addition ❑ AlterationRepair ® Demo ❑ Change of Use ❑ Move ❑ Description of Work: A001 F \C A -L Plan Review Contact Person: Phone: Fax: r - Property Owner Information Name e -016 --lel Street: o*e-,3 tP, 96-2 City, State Zip: t56/7Aeo' Fz '.i&Zx% Resident of•property? Contractor Information Name Phone: 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 1053 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 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 donei ,1 >fanc ' h all applicable laws regulating construction and zoning. Name Date a ANNETTEMTT Notary Public • State of Florida •c My Comm. Expiias Jan 16. 2018 c Commission a FF 071760 Bonded Through National Notary Assn. f (� Signature of Contractor/Agent Date Print Contractor/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to' or, 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 Alarm Permit: Yes ❑ No ❑ WASTE WATER: FIRE: BUILDING: `7� G -(S•/% r Revised: June 30, 2015 Permit Application r f r FA, M 11, Property I, kc—n 4 L- do hereby state that I am qualified and c pable pe the requested construction invol ed with the permit application filed and agree to the condi IL ed abov . Signat/ire of OvpXr-Buil' def Date Form of Identification (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 I agree that, as the party legally and financially responsible for this proposed construction activity, 1 will \ Junderstand abide by all applicable laws and requirements that govern owner -builders as well as employers. I also that the construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. 1 am of aware of construction practices and I have access to the Florida Building Codes. I understand that 1 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 1 may contact the Florida / Construction Industry Licensing Board at 1-850487-1395 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 1 am the party legally and financially responsible for the proposed construction activity at the address listed below. /1 agree to notify the building department immediately of any additions, deletions, or changes to any of the Jinformation that 1 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, kc—n 4 L- do hereby state that I am qualified and c pable pe the requested construction invol ed with the permit application filed and agree to the condi IL ed abov . Signat/ire of OvpXr-Buil' def Date Form of Identification (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 ell J P12 i /, 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 license. 1 understand that building permits are not required to be signed by a property owner unless he or she is V responsible for the construction and is not hiring a licensed contractor to assume responsibility. 1 understand that, as an owner -builder, I am the responsible party of record on a permit. 1 understand that 1 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. 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 1 have built or substantially improved myself is sold or leased within in 1 year after the construction is complete, the law will presume that 1 built or substantially improved it for sale or lease, which violates this exemption. 1-7 1 understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. 1 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. 1 understand that my failure to follow these laws may subject me to serious financial risk. Rev. 9.14.2009 Wo o 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: Building Permit Application completed, signed and notarized. Application must include correct address and complete parcel I.D. number. Copy of a contract, signed by the contractor and the property owner, indicating the documented construction value of the project. o" Copy of applicable contractor's license issued by the State of Florida (if the contractor is the applicant). A sit, 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. IVA Certificate 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 of Florida (must be submitted with each application if contractor is the applicant). and signed Completed ed Owner Builder Statement / Affidavit applicant). P 0 � U d- g : All) (if the owner is the For Re -Roof Pts other than asphalt shingle, wood shake or wood shingle, please provide two (2) copies of Florida Product Approval and Manufacturer Installation Instructions for the roof covering product and the underlayment. C ontact person information entered in Naviline? ? forms stamped received and initialed? 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, and federal code requirements. Revised.• February 2015 SCPA Parcel View: 36-19-30-539-0000-0970 A ANN Property Record Card PArJWMMCIA RA1,� Parcel: 36.19.30.539.0000-0970 PKA1 Owner: COOK JOHANN L 8 CHICHKAN ELENA A ecraanoasrrv,� Property Address: 2403 LAUREL AVE SANFORD. FL 32771-4427 Parcel Information Value Summary Parcel 36-19-30.539.0000-0970 Owner COOK JOHANN L 6 CHICHKAN ELENA A Property Address 2403 LAUREL AVE SANFORD, FL 32771-4427 Mailing 401 E 1 ST ST 111984 SANFORD, FL 32772 - Subdivision Name FRANKLIN TERRACE Tax District S1-SANFORD DOR Use Code 07 -MISCELLANEOUS RESIDENTIAL Exemptions 129.6 Seminole County GIS Page 1 of 2 Tax Amount without SOH: $373.97 2015 Tax Bill Amount $373.97 Tax Estimator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description 2016 Working Values 2015 Certified Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value $12,801 $4,610 Depreciated EXFT Value Assessment Value Exempt Values Taxable Value Land Value (Market) $13,766 $13,766 Land Value Ag $20,214 $26,567 City Sanford Just/Market Value " $26,567 $18,376 Portability Adj Save Our Homes Adj SO $0 Amendment 1 Adj P3G Adj - Assessed Value $6,353 SO - - 520,214 50 50 - - $18,376 Tax Amount without SOH: $373.97 2015 Tax Bill Amount $373.97 Tax Estimator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description Date Book Page LOT 97 FRANKLIN TERRACE PB 3 PG 78 Qualified Vadlmp TAX DEED Taxes 08101 1119 $3,700 Taxing Authority Assessment Value Exempt Values Taxable Value 10/112006 County General Fund Schools _— $20,214 - $26,567 $O $O $20,214 $26,567 City Sanford $20,214 $O $20,214 SJWM(Saint Johns Water Management) $20,214 $O $20,214 County Bonds $20,214 SO 520,214 Sales No Vacant PROBATE RECORDS Description Date Book Page Amount Qualified Vadlmp TAX DEED 8/1/2013 08101 1119 $3,700 No Improved WARRANTY DEED 10/112006 06459 1025 $259,000 No Improved WARRANTY DEED 5/1/2004 05324 0162 $168,000 No Improved WARRANTY DEED 3/1/1994 02751 2961 $65,000 No Vacant PROBATE RECORDS 10/1/1991 02350 0889 $100 No Vacant WARRANTY DEED 10/111986 01788 1446 $100 No Vacant Find Comparable Sales Land Method Frontage Depth Units Units Price Land Value FRONT FOOT 3 DEPTH 63.001 130.00 0 $230.00 1 $13.766 Building Information Is Bed/Bath count incorrect? Click Here. 0 1 Description I I Fixtures I Bed I Bath I Base Area I Total SF I Living SF I Ext Wall I Adj Value I Rept Value I Appendages http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=36193053900000970 6/14/2016