HomeMy WebLinkAbout425 S Summerln AveCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: / 6-- ���a 1
ou
Documented Construction Value: S A U 0
I-
Job Address: 7�S S �l�h'�/�iLL/(// f Historic Distric . Yes ❑ No
Parcel ID: Residential Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use❑ Move ❑
Description of Work: e(& - 54d od4 CA !,( i4&-�
Plan Review Contact Person: � `e -i%— Or /� Title: 1'%/,d t
Phone: -j1,1,17— �i;19/ Fax: Email: 401 i &1-11Y/
Property Owner Information
Name '&-ix—z- Phone: 4/o 2--&A
Street: ��Z� `S �� �'!�•�/r✓ ,��t Resid'ent of property?.: S�
City, State Zip:
Name
Contractor Information
Phone:
Street: Fax:
City, State Zip:
Name:
State License No.:
Architect/Engineer Information
Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company:
Address:
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
F)NANGING, 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. 1 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. 1 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: 5" Edition (2014) Florida Building Code 0/
Revised: lune 30, 2015 Permit Application a a
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.
Signature of Owner/Agent Date
rT
J2
Signature oiNotary-State of Florida SANIANIFIARR►P►TSON
*0%14t;
NOTARYPUBLIC
STATE OF FLORIDA
FF2W964
Expires 3/2/2019
Owner/Agent is Personal ly-K nown to Me or
Produced ID Type of ID C Y 1
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:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes [D No ❑ # of Heads
30t
APPROVALS: ZONING: %r I_ UTILITIES:
ENGINEERING:
COMMENTS:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING: • I
Ok to add two concrete slabs in back of house as shown on plan. One slab approx. 33.40 x 14.70 and _
second slab 4'x 12'. Meets area and dimensions regulations for the SR-1AA zoning district.
Revised: June 30, 2015 S�+ 0 W f.J
tJ I Permit Application
• 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 require$, construction to be done by a licensed cgntractor 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. 1, 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 1-850487-1395 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 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
'nformation 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:_T/�J �G �i��/�/il�4
I, , do hereby state that I am qualified
and capable of performing the requested construction involved with the permit application filed and agree to the
conditions specified above.
Signature of Owner -Builder
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
SOPA Parcel View: 30-19-31-525-0000-0810
Property Record Card
CFAParcel: 30.19-31-525.0000-0810
MUM Owner: HESTER ROBERT E JR 8 JANELL S
�.w+oruoouwrr raffia Property Address: 425 SUMMERLIN AVE SANFORD, FL 32771.2255
Parcel Information Value Summary
Parcel
30.19-31-525.0000.0810
Owner
HESTER ROBERT E JR d JANELL S
Property Address
425 SUMMERLIN AVE SANFORD, FL 32771-2255
Mailing
425 SUMMERLIN AVE SANFORD, FL 32771 -
Subdivision Name
FORT MELLON
Tax District
S1-SANFORD
DOR Use Code
01 -SINGLE FAMILY
Exemptions
Land Value (Market)
Land Value Ag
�Cr
1
YS_
a
Legal Description
LOTS 81 + 82 + N 1/2 OF
LOT 83
FORT MELLON
PB3PG69
Taxes
Page 1 of 2
Tax Amount without SOH: $1,941.00
2015 Tax Bill Amount $1,941.00
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority
2016 Working
Values
2015 Certified
Values
Valuation Method
Cost/Market
Cost/Market
Number of Buildings
1
1
Depredated Bldg Value
$90,805
$59,381
Depredated EXFT Value
$2,800
$2,200
Land Value (Market)
Land Value Ag
$33,810
$33,810
Just/Market Value "
$127,415
$95,391
Portability Adj
3/1/2004
$127,415
Save Our Homes Adj
$0
s0
Amendment 1 Adj
P&G Adj -- -
Assessed Value
$0
$0 - - — —
$127,415
$0
so - —
595,391
Tax Amount without SOH: $1,941.00
2015 Tax Bill Amount $1,941.00
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority
Assessment Value Exempt Values
Taxable Value
Page
County General Fund
$127,415
$0
$127,415
Schools
$127,415
s0
$127,415
City Sanford
$127,415
s0
$127,415
SJWM(Saint Johns Water Management)
$127,415
s0
$127,415
County Bonds
$127,4151SO
3/1/2004
$127,415
Sales
Description
Date
Book
Page
Amount
Qualified
Vedimp
WARRANTY DEED
10/1/2015
08574
1751
$155,000
Yes
Improved
WARRANTY DEED
1/1/2007
06564
0427
$199,000
Yes
Improved
WARRANTY DEED
3/1/2004
05218
O_tL
$137,500
Yes
Improved
PROBATE RECORDS
9/1/2003
2129J
10486
$100
No
Improved
PROBATE RECORDS
6/1/2003
04880
I ]828
1$100
No
Improved
Find Comparable Sales
Land
Method Frontage Depth Units Units Price Land Value
FRONT FOOT d DEPTH 150.00 138.00 0 $230.00 $33.810
Building Information
Is Bed/Bath count incorrect? Click Here.
# Description Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Rept Value Appendages
1
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=30193152500000810 6/2/2016
" BOUNDARY SURVEY "
=REAL PROPERTY DESCRIPTION"
LOTS 81, 82 AND THE NORTH Nz OF LOT 83, FORT MELLON, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT
BOOK 3, PAGE 69, OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA.
RECORn Copy
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CONCRETE
LOT 80
FORT MELLON
P.B. 3, PG. 69
4' WIRE FENCE
4' WE FENCE 6.7' E.
0.43' N. 1.65' N.
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IJ/..7V o — ° — ° °
5 4'
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x/5807
6' CONC. BLK
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A R R R F VI A T I O
P.R.Y. - PERMANENT REiEKHCE MONUMENT
C.Y.
- CON(yiEYE MONUMENT
EL
N 6 E
- ELEVATION
G L
CONIC.
N D
- CONCRETE
W.Y.
- WATER METER
P.O.C. - PONT OF COMMENCEMENT
P.B.
- PLAT BOCK
A/C
- AIR CONDITIONER
C.LF.
- CHAIN LINK FENCE
FM.
- FIRE HYDRANT
P.C. - PONT OF CURVATURE
Pg.
- PAGE
TYP.
- TYPICAL
W.F.
- WOOD FENCE
N t D
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P.R.C. - POINT Or REVEISE CURVATURE
N.R.
- NON -RADIAL
U.E.
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C t G - CURB t CUTTER
B.Y.
- BENCH MARK
P.C.C. - POINT Or COMPOUND CURVATURE
RAD.
- RADIAL
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- DRAINAGE EASEMENT
CATV
- CABLE TELEVISION RISER
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- PAVEMENT
P.T. - POINT OF TANGENCY
R.
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- TELEPHONE RISER
F.B.
- FIELD BOOK
P.I. - POINT OF INTERSECTION
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- ARC LENGTH
B.S.
- BUILDING SETBACK
TRANS
- TRANSFORMER PAD
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P.C.P. - PERMANENT CONTROL POINT
- DELTA
C.B.S. - CONCRETE BLOCK STRUCTURE
LP.
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(A)
- ACTUAL
P.O.L - POINT ON LINE
R.P.
- RADIUS POINT
((P))
- PLAT
P.P.
- POWER PCE
HS
- NO SURVEYOR
C. 8. - CHORD BEARING
R/W
- RIGHT-OF-WAY
(Y3
- MEASURED
N.O.
- NATURAL GROUND
IDENTIFICATION
T.B. - TANGENT BEARING
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- CALCULATED
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- RECOVERED
SURVEYORS NOTES: -M PLANS CER77FIED TO:
1. NOT VALID WITHOUT THE SIGNATURE AND ORIGINAL RAISED' ROBERT & JANELL RESTER
SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. f `
2. THE 'REAL PROPERTY DESCRIPTION- SHOVM HEREON IS IN ACCORDANCE.✓
WITH THE DESCRIPTION PROVIDED BY THE CLIENT. DEPT.
3. NO UNDERGROUND IMPROVEMENTS OR VISIBLE INSTALLATIONS HAVE BEEN ENG.
LOCATED OTHER THAN SHOWN.
4. BEARINGS ARE BASED ON THE CENTERUNE OF SUMMERUN AVENUE Ok to add two concrete slabs in back of house 'nF/CATE•
BEING N. 00'00'00' W. PER PLAT. as Shown on plan. One slab approx. 33.40 X IS THE STANDARDS OF PRACTICE
5. HAVING CONSULTED THE NATIONAL FLOOD INSURANCE PR( 14,70 and second slab 4' x 12'. Meets area and OF PROFESSIONAL SURVEYORS
NOT HAVE
SPECIALNED THAT FLOODAREAiPERUFlRMC PANEL / LIES 11
ORIDA ADMINISTRATIVE CODE,
NOT A007, IAL FLE COUNTY, FLORIDA dimensions regulations for the SR-1AA zoning I STATUTES.
district.
CLIENT. ROB SCOTT BECHIR, P.S.M.
CADD OHI; fTLf: '
JOB NUMBER: 1. 169 PROFESSIONAL SURVEYOR & MAPPER
15-169 FLORIDA REGISTRATION NUMBER 5807
COMMENTS FIELD DATE OFFICE DATE
BOUNDARY 5 I ►s SR 12110/15 SCOTT'S SURVEYING SERVICES, INC.
LB # 7442
LICENSE TO PR CE
AUTHORITY T VIOLATE, CANC ,ALTER OR SET ::]
8 S. HWY. 17-92, SUITE 8-A
NO N01 AS
ASIDE -AN RAI DEBARY, FLORIDA
CODES, NOR SH LL ISSUANCE OF PERMIT PRFVFNT PH. (386) 668-7332 FAX 668-7337
CONSTRUCTION OR VIOLATIONS OF THIS CODE
REQUIRED INSPECTION SEQUENCE
RP# // /475q Address: Ll%C Q CAV#A*?-4-1d
BUILDING (PERMIT
Min Max Inspection IIDescrri tion
Footer / Setback
Stemwall
Foundation / Form Board Survey
Slab / Mono Slab Pre our
Lintel / Tie Beam / Fill / Down Cell
Sheathing — Walls
Sheathing — Roof
Roof Dry In
Frame
Insulation Rough In
Firewall Screw Pattern
Drywall / Sheetrock
Lath Inspection
Final Solar
Final Roof
Final Stucco / Siding
Insulation Final
Final Utility Building
Final Door
Final Window
Final Screen Room
Final Pool Screen Enclosure
Mobile Home Building Final
Pre -Demo
Final Demo
Final Single Family Residence
Final Building Other
REVISED: June 2014
(ELECTRICAL PERMIT
A in Max Inspection Description
Electric Underground
Footer / Slab Steel Bond
Electric Rough
T.U.G.
Pre -Power Final
Electric Final
MECHANICAL (PERMIT
min Max IIns ection Description
Mechanical Rough
Mechanical Final
li9[in Max Inspection Description
Gas Underground
Gas Rough
Gas Final
BEST
PEST
CONTROL
1941 N. Forsyth Road
Orlando, FL 32807
.407-679-6808 \
SUBTERRANEAN TERMITE PRETREAT
PERMIT # JB6866
Customer Account # 10164
Completion Date 06-24-16
Date 06-24-16
This agreement is made between The Best Pest Control Company, Inc.
and Robert Hester Phone # 407-716-2603
Service Address: 425 South Summerlin Ave, Sanford Florida 32771
Billing Agent: Robert Hester
Billing Address: 425 South Summerlin Avenue
Sanford Florida, 32771
Nature of Treatment: Subterranean Termite Pretreat
Total Cost: Paid In Full
Buildings treated & other remarks: Product used: CrossCheck Plus .06% Rate
Treatment of Perimeter of Home & Slab for area for pool .
By Michael Prendergast For Robert Hester
Representative Authorized Agent
1: "FA t-'
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