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Home My WebLink About523 San Lanta CirJv+Ij AUG 0 8 20% LB Y __Z = CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: / & Documented Constru ion Value: $ C Inc > Job Address: c), -3 n `// 4 h4a- 611 h_l2 , FL 3771 Historic District: Yes No Parcel ID: 3/—/q- '3 [- 5_D - D 0Q0 - 0//D Residential Commercial Type of Work: New Addition AlterationEl Repair Demo Change of Use Move Description of Work: J Vi S / / ( CV T- S 1'qb /0'X Wl M as ,5 f! t' 1 yr n L-, g i.1 V V Plan Review Contact Person: JO n 1-716, /711i G Title: r v'0 'V W.17 Phone D -7) 3v a- `f" 5 Fax: Email: u r ee_a o j/Isoc, Property Owner Information z Name V CC 4i h 1 .-e (S Y t Phone: (l 0 ) Street: O De (-[ vt u 04 Resident of property,?, A 0 City, State Zip: 11Ci Yi e- 'j L 3 7L{ CO Contractor Information Name Street: City, State Zip: Name: Street: City, St, Zip: Bonding Company: Address: 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 l // Revised: June 30, 2015 Permit Application . 0— 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. Sign ture of Owner/Agent D to Print Owner/Agent's Name gg j A — Y7" A Stu sate of Jdihl M. JOHNSON to MY OMMISSION # FF 956284 o: EXPIRES: March 23, 2020 o% Bonded Thru Notary Public Underwriters Owner/Agent is rsonally Kno cto Me or Produced ID Type of ID ( 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 Flood Zone: of Stories: Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: COMMENTS: FIRE: BUILDING: .5(-- S 1 Revised: June 30, 2015 Permit Application 6 C C 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 I license. I understand that building permits are not required to be signed by a property owner unless he or she is 1 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. j 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 kand materials. I, as an owner -builder, may be held liable and subjected to serious financial risk for any v 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 Property Address: 5R3 J P vi, FL 34.77 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 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 Ji 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: 5R3 J P vi, FL 34.77 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 4 , rk City of Sanford Slab Permit Application Checklist a 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. WA Copy of a contract, signed by the contractor and the property owner, indicating the documented construction value of the project. Copy of applicable contractor's license issued by the State of Florida (if contractor is applicant). f A 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. 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). Completed and signed Owner Builder Statement / Affidavit (if owner is applicant). Two (2) site plans indicating proposed location and distances to property line(s). These guidelines were compiled to assist the applicant in preparing a slab 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 RECORD COPY PROVLL) PLANS M.q LOT A A L- _ Ck s o W N.89 °48'00 "W. - 65.00' S 14tiCJ B.R. 1.6' 7--U — 0.2' XII11' S D' I G ,o1` _ o 0 i1 Q N 10 ONE STORY SINGLE ? FAMILY RESIDENCE v cV # 820 O 37.4' O cr It Q 0 IL2' h N FD. XCUT P.C. 0 JLO j(' I CJ ] t xl ouc N N j t'E i tLZhcT e Qivi N 6F AsuX vm>-5 2 9 zREVIEWED PORCCO--DE COMPLIANCE PLANS EXAMINER DATE 14 .40'M. EAST - 65.00" SET # 4 I.R. LB 6387 TYPICAL p 0 to VALENCIA COUPT NORTH " 50' ..R/N. SANFORD BUILDING DIVISION A PERMIT ISSUED SHALL BE CONSTRUED TO BE A LICENSE TO PROCEED WITH THE WORK AND NOT AS AUTHORITY TO VIOLATE, CANCEL, ALTER OR SET ASIDE -ANY OF THE PROVISIONS OF THE TECHNICAL CODES; NOR SHALL ISSUANCE OF A PERMIT PREVENT THE BUILDING OFFICIAL FROM THEREAFTER REQUIRING A CORRECTION OF ERRORS IN PLANS. CONSTRUCTION OR VIOLATIONS OF THIS CODE I HEREBY " E61FY ?a•IF T TI{I:A_ BOI)ND `/ ' tURVEY MEETS THE MINIMUM TECHNICAL STANDARDS. FORTH B TH FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS U,- H TEF'6i'D ANISTRATIVE CODE, PURSUANT TO SECTION 472.027. FLOR' 5T.i.TU1 E. SIGNED - RALPH SWERDLOFF REGISTERED LAND SURVEYOR NO. 3411 STATE OF FLORIDA DING SANFopD PAR` 16-2222 LEGEND WOOD FENCE D.E. DRAINAGE EASEMENT WIRE FENCE U.E. UTILITY EASEMENT A NAIL FD. FOUND O PROPERTY CORNER P PLAT R RECORD ASPHALT M FIELD MEASURED 0. H. L. OVERHEAD UTILITY POLE C CALCULATED P. P. POWER POLE CL CLEAR TX TRANSFORMER ENCR ENCROACHMENT CATV CABLE RISER CL CENTERLINE W.M. WATER METER 0 CONCRETE TEL. TELEPHONE FACILITIES f'L PROPERTY LINE COVERED AREA C.M. CONCRETE MONUMENT B.R. BEARING REFERENCE F.I.R. FOUND IRON ROD CH CHORD F.I.P. FOUND IRON PIPE RAD RADIAL R/W RIGHT OF WAY N.R. NON RADIAL 50' ..R/N. SANFORD BUILDING DIVISION A PERMIT ISSUED SHALL BE CONSTRUED TO BE A LICENSE TO PROCEED WITH THE WORK AND NOT AS AUTHORITY TO VIOLATE, CANCEL, ALTER OR SET ASIDE -ANY OF THE PROVISIONS OF THE TECHNICAL CODES; NOR SHALL ISSUANCE OF A PERMIT PREVENT THE BUILDING OFFICIAL FROM THEREAFTER REQUIRING A CORRECTION OF ERRORS IN PLANS. CONSTRUCTION OR VIOLATIONS OF THIS CODE I HEREBY " E61FY ?a•IF T TI{I:A_ BOI)ND `/ ' tURVEY MEETS THE MINIMUM TECHNICAL STANDARDS. FORTH B TH FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS U,- H TEF'6i'D ANISTRATIVE CODE, PURSUANT TO SECTION 472.027. FLOR' 5T.i.TU1 E. SIGNED - RALPH SWERDLOFF REGISTERED LAND SURVEYOR NO. 3411 STATE OF FLORIDA SCPA,Parcel View: 31-19-31-505-0000-0110 Property Record Card D8Wd*, ='cf4 Parcel: 31-19-31-505-0000-0110 lljjj'' Owner: SMITH ALOYSIUS E & JANNIE C.+ou.CXx.rNiV rt{rtaon Property Address: 523 SAN LANTA CIR SANFORD, FL 32771 Parcel Information 3. Value Summary Parcel 31-19-31-505-0000-0110 Owner SMITH ALOYSIUS E & JANNIE Property Address Mailing 523 SAN LANTA CIR SANFORD, FL 32771 820 DELFINO PL LAKE MARY, FL 32746-2363 _ Subdivision Name SAN LANTA 3RD SEC TaxDistrict S1-SANFORD DOR Use Code 01 -SINGLE FAMILY Exemptions 70,-9 6-2 , Legal Description LOT 11 SAN LANTA 3RD SEC PB 13 PG 75 Taxes — Page 1 of 2 2016 Working 2015 Certified Values Values Valuation Method Cost/Market Cost/Market Number of Buildings i 1— 1 Depreciated Bldg Value $57,462 $56,528 Depreciated EXFT Value Land Value (Market) $13,500 — ( $13,500 — Land Value Ag Just/Market Value "— $70,962 1 $70,028 Portability Adj Save Our Homes Adj $0 $0 Amendment 1 Adj $0 $0 P&G Adj $0 -- $O - ------ Assessed Value $70,962 $70,028 Tax Amount without SOH: $1,425.17 2015 Tax Bill Amount $1,425.17 Tax Estimator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority 5 + 65 65 65 6 O SOC:) 0 co A: n 70,-9 6-2 , 0 ' WW 4—$ 70,962 70,962 City Sanford SJWM(Saint Johns Water Management) 70,962 ' 70,962 0 0 7 70,962 County Bonds a 0 70,962 65 65 65 6 Seminole County GIS Legal Description LOT 11 SAN LANTA 3RD SEC PB 13 PG 75 Taxes — Page 1 of 2 2016 Working 2015 Certified Values Values Valuation Method Cost/Market Cost/Market Number of Buildings i 1— 1 Depreciated Bldg Value $57,462 $56,528 Depreciated EXFT Value Land Value (Market) $13,500 — ( $13,500 — Land Value Ag Just/Market Value "— $70,962 1 $70,028 Portability Adj Save Our Homes Adj $0 $0 Amendment 1 Adj $0 $0 P&G Adj $0 -- $O - ------ Assessed Value $70,962 $70,028 Tax Amount without SOH: $1,425.17 2015 Tax Bill Amount $1,425.17 Tax Estimator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority FrontageDepth Assessment Value Exempt Values Taxable Value Land Value County General Fund 0.00 70,962 ] 0 70,962 Schools 70,-9 6-2 , 0 ' WW 4—$ 70,962 70,962 City Sanford SJWM(Saint Johns Water Management) 70,962 ' 70,962 0 0 7 70,962 County Bonds 70,962 0 70,962 Sales Description Date Book Page Amount Qualified Vac/Imp WARRANTY DEED 1/1/1977 01136 ' 0385 $23,000 Yes Improved WARRANTY DEED 1/1/1974 01027 t 1716 $23,400 Yes Improved Find Comparable Sales Land Method FrontageDepth Units Units Price Land Value LOT 0.00 0.001 1 13,500.00 13,500 Building Information Is Bed/Bath count incorrect? Click Here. Description Year Built Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages Actual/Effective 1 SINGLE 1974 ? 51 31.5 1 950 1,560 1,210 BRICK+WOOD $57,462 $73,669 j Description Area FAMILY COMBO UTILITY 90.00 FINISHED http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=31193150500000110 8/8/2016 REQUIRED INSPECTION SEQUENCE BP#- IL • 7.77_7 Address: l,7 Z CA -w1 Lptm-r4 Wouil[<vrxa- 1EDeRmlir Min Mays ><ns ec tion Description Footer/ Setback Stemwall Foundation / F-orm Board. Survey 10 Slab / IVlono Slab Prepour Linter / Tie Beam / Fill / Down Cell Sheathing— Walls Sheathing — Roof Roof Dry In Frame Insulation. Rough In Firewall Screw Pattern Drywall % Sheetrock Lath Ins ection Final Solar Final Roof Final Stucco-/ Siding Insulation Final Final Utility Building Final Door Final Window Final Screen Room Final:. Pool Screen Enclosure Mobile Rome Building: Final Pre -Demo Final Demo Final Single Family Residence Final- Building (Other) REVISED: June 2014 Min Max Ins eetion Desc ri pion Electric. Underground' Footer / Slab Steel Bond Electric bough T.U.G. Pre -Power Final Electric Final m Min Mays lm,=etti®n Descri2tiou Plumbing Underground= Plumbing Sewer Plumbing Tube Set Plumbing Final Min Max: I IInsUDection Deso Mechanical Roug Mechanical Final Min I Max 11nsueetion tDexcri Oras Unde Oras Roup Gas Final