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HomeMy WebLinkAbout210 Meadow Hills DrOCT 2 5 2313 CITY OF SANFORD BUILDING & FIRE PREVENTION r PERMIT APPLICATION Application No: Documented Construction Value: $ %oo po Job Address: a110 Y e:aAvw 9 A% t L% b(2, Historic District: Yes No Parcel ID: 1 O '.)G - 30 - S e S - 01= 00- 05 © Residential Commercial Type of Work: New Addition Alteration Repair ® Demo Change of Use Move Description of Work: Von s(n, n0 g_& Plan Review Contact Person: CmA'-t Title: Phone: ` 40-1- Q:1.) - !S 7 5 5 Fax: Email: qo -•u r SO® cl"oo, cco w% Property Owner Information 1 Name ascE1 Phone: 407- 3[O-qc)7 2- Street: P.O. SCOC l Qs')s2— Resident of property? : Ye S City, State Zip: LkDl Y1-6 E:A t-1 Inq S 5XI I ( Contractor Infor Name Phone: Street: Fax: City, State Zip: State Li Architect/ Engineer Infor on Name: 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 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:.5" Edition (2014) Florida Building Code 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. StgnaWWe of 0%ner/Agent D e Signature of Contractor/Agent Date Print Owner/Agent's Name MY COMMISSION n FF 178648 EXPIRES: February 25, 2019 Bonded Thru IJotar; Public Unduwriters Owner/Agent is Personally KTFn tq Me or Produced ID Type of ID T r 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: Occupancy Use: Total Sq Ft of Bldg: 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 Futures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application SCPA Parcel View: 10-20-30-5CS-OF00-0050 Page 1 of 2 CtOarld. aMscn, I n APP R MhW40U:000h rv, FFLOROA Parcel Information Property Record Card Parcel: 10-2 0-30-5CS-0 F 00-0050 Owner: TILSON HOLLIS J Property Address: 210 MEADOW HILLS DR SANFORD, FL 32773 Parcel 10-20-30-5CS-0 F00-0050 Owner TILSON HOLLIS J Property Address 210 MEADOW HILLS DR SANFORD, FL 32773 Mailing 210 MEADOW HILLS DR SANFORD, FL 32773-5548 Subdivision Name HIDDEN LAKE UNIT 1-B Tax District S1-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions 00-HOMESTEAD(2001) Value Summary 2017 Working 2016 Certified Values Values Valuation Method Cost/Market C-ost/Market Number of Buildings 1 1 Depreciated Bldg Value 76,872 74,357 Depreciated EXFT Value Land Value (Market) 21,000 21,000 Land Value Ag Just/Market Value ** 97,872 95,357 Portability Adj Save Our Homes Adj 27,553 25,527 Amendment t Adj P&G Adj 0 0 Assessed Value 70,319 69,830 Tax Amount without SOH: $1,098.14 2016 Tax Bill Amount $651.00 Tax Estimator Save Our Homes Savings: $447.14 Taxing Authority Assessment Value Exempt Values Taxable Value City Sanford 70,319 45,319 25,000 SJWM(Saint Johns Water Management) 70,319 45,319 25,000 County Bonds 76,319 45,319 25,000 County General Fund 70,319 45,319 25,000 Schools 70,319 25,000 45,319 Description Date Book Page Amount Qualified Vac/Imp CORRECTIVE DEED 6/1/2006 06289 0776 $100 No I Improved QUIT CLAIM DEED 3/1/2003 1079 $100 No Improved FINAL JUDGEMENT 1/1/2003 r04663 1410 $100 No Improved WARRANTY DEED 6/1/2000 i 0726WW$85,000 Yes Improved WARRANTY DEED 5/1/1998 03441 1945 $65,000 Yes i Improved WARRANTY DEED 8/1/1996 03116 M 0088 $100 No Improved WARRANTY DEED 7/1/1984 01564` 0804 $51,300 Yes Improved WARRANTY DEED 5/1/1984 01546 LL 1846 $49,000 Yes Improved WARRANTY DEED 11/1/1973 00993 1236 $30,200 Yes Improved http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=1020305CSOF000050 10/26/2016 A. U. S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT SETTLEMENT STATEMENT Liberty Title Company 3800 Lake Center Loop, Building 5, Suite 5 Mt. Dora, FL 32757 352) 385-1833 fax (352) 385-1733 C. NOTE: This form isfurnished to give you a statement afactual settlement costs .4mounts paid to and by the settlement agent are shown. Items marked poc) were paid outside the closing. 77iey are shoftm here for informational purposes and are not included in the totals Prisca Torres - D. Buyer: 210 Meadow Hills Dr. Sanford, Florida 32773 Hollis J. Tilson E. Seller: 8315 Springcroft Rd. NW A(, h toue,NewMexico 87120 F. Lender: 2i0 Meadow Hilts Dr. Sanford, Seminole County, Florida 32773 G. Property: LOT 5 BLK F HIDDEN LAKE UNIT 1 B PB 17 PG 54 Seminole County, Florida H. Settlement Agent: Liberty Title Mt. Dora Place of Settlement: 3800 Lake Center Loop, Ste B5, Mount Dora, Florida 32757 Lake County 1:. Settlement Date: September 26, 2016 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 ofeachstatement 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 1, 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 ponsible 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 fmancial 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 P. T. 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 Pj 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 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 der the Federal Insurance Contributions Act (FICA) and must provide workers' compensation e- : 11nos rthe employee. I understand that my failure to follow these laws may subject me to serious financial k. 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 1-850-487-1395 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:_ / 0310 Ve_0, 40W J4LJ(S bp, 'Sgn4gA 4 `. 3a 13 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"thiit"tequires'Iicensnre 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 THIS INRUMENT PR RED BY: AQ Name: AAddressNOTICE OF COMMENCEMENT State of Florida County of Seminole Permit Number: — Parcel ID Number: 1111111111111111111111811111111111111111 MAR1' ANNE NORSEr SENINOLE t OUhaH CIRCUIT COURT ?< COMPTROLLER 71 RECORDED 10' 10/2016 11:02:18 f11'1 RE:,CUI.: DING FEES $i.i -00 Rr:":ORDED BY hrJeVO1-,2 d v - 36 - S S" o r 00 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. X DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) Ici GENERAL DESCRIPTION OF IMP OVEMENT: OWNER I , RN(ATION: Name: r i=1 iCJ4 Address: c3' y VYle0.iaclr Fee Simple Title Holder (if other than owner) Address: CONTRACTOR: Name: 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. In addition to himself Gk ner 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 expiration date is 1 year from date of recording unless a different date is specified) t5 • aOiU 0 e @ cal WARNING TO OWNER: ANY PAYMENTS MADE BY THE O RAFTER THE EXPIRATION OF THE NOTICE OF W°, ham••,°s COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,i- i{...' Gt u'f.'f FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST ;s' •... =- INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY eh0,t.-`_ BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penal . of perjury, I declare that I have read the foregoing and that the facts stated in it are true N to the best f y knowledge and beli o z Owners Signature Owner's Printed Name Florida Statute 713.13(1)(g): The owner must sign the, lice of commencement and no one else maybe permitted to sign in his or her stead." a U z U z W O State of County of o a o YaZ The fore oing instrument was acknowledged before me this day of 2)(' "" W u ca by- Who is personally known to me Name of person making statement t"" \ i e '- 0 ) OR who Mantifira type of identification produced: f'Y' Py, DEBBIEB(ANTON MY COMMISSION # FF 178648 f EXPIRES: Thru tarsFebruary 25 2019 !<—Bonded Thtu Notary Public Underwrers r Notary Signature CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: 4 8 S / 1, hereby acknowledge that I personally inspected Roof dec nailing econdary waterbarrierwork at - v C / r\ e 0-6' v(, ' J' rb/ 11 S Ul 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 Section .0 F.S.--- Signature of Contractor PE-15CA Printed Name of Contractor Date t4rAY _ CSW ytcffx' License # Lice e Type: General Building Residential Roofing Contractor or any individual certified in accordance with F.S. 468 to make such an inspection. GSTATEOFFLORIDACOUNTYOFn41" OC S n to or affirmed and subscribed before me this / day of , 20 Gb , by rrX( o r ) , who is Personally Known to me or has r Produced (type of identi ea 61 r, d6U 5-7 5-4c) as identification. SEAL) Signature of Notary Public EffWWQW oida / Stat f Flor 'Qukwm a j, a",Ot),Je NOTARY PUBLIC STATE OF R.MDA Print/ Type/Stamp Name Coee*000MW of Notary Public 40EVMWBMM 3