HomeMy WebLinkAbout1018 Pine Ave (2)KI\4"tr`� ISi9
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CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No- / t°-`3 3 V(,,
Documented Construction Value: $
Job Address: iq lQ P;A9 Ave s&h!Yd , f L 3 Historic District: Yes ❑ No a
Parcel ID: Residential R Commercial ❑
Type of Work: New Er Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: u r cl °` Lo -
J" G 2 ii, h a c k yaY�
Plan Review Contact Person: M%►
Phone: �,li d �� �j/� Fax:
l 1 0`►'►'1 (-o` S Z 1 Title:
Email: ��n-t(kn 1d'> 1 uu, C U ry\
_ Property Owner Information
Name L0,hrX 1 a' h
Street: to ►, e A ✓ e
City, State Zip: S4/ly L 31 7
F.
Phone: T7fJ�b)
Resident of property? :
Contractor Information
Name Phone:
Street: Fax:
City, State Zip: State License No.:
Architect/Engineer Information
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. 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: 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 resfrictioil's 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.
�Si ature of Owner/Agent Date
Signature of Contractor/Agent Date
Print Owner/Agent's Name Print Contractor/Agent's Name
Signature of NotarySignature of Notary -State of Florida Date
r DEBBIE BLANTON
. MY COMMISSION ! rF 178648
s' EXPIRES: February 25, 2019
Bonded Tbru Notw y Pubfc Underwriters
Owner/Agent is Personally Krwn to Me or Contractor/Agent is Personally Known to Me or
Produced ID Type of lD F%L_ Produced ID Type of ID
141 lir/d `f
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 ❑ # of Heads
APPROVALS: ZONING: 1-2-45-14 S UTILITIES:
ENGINEERING:
COMMENTS:
FIRE:
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
_ Ok to install 6 foot tall privacy fence with one us Fence shall be consas shown on plan.tructed wifoot tall th
vacy fencalon11 f Wished sede fagingt^
street shall not extend beyond edge of the hose
outward.
Revised: June 30, 2015 Permit Application
SCPA Parcel View: 25-19-30-5AG- 1 20B-0050
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96
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Parcel Information
Page 1 of 2
Property Record Card
Parcel: 25.19.30.5AG-1208-0050
Owner: US BANK TR
Property Address: 1018 PINE AVE SANFORD, FL 32771
Parcel
25.19 -30 -SAG -1208-0050
Owner US BANK TR
Property Address
1018 PINE AVE SANFORD, FL 32771
Mailing
C/O ALDRIDGE 1615 S CONGRESS AVE #200 DELRAY BEACH, FL
33445
Subdivision Name
SANFORD TOWN OF
Tax District
S7-SANFORD
DOR Use Code 01 -SINGLE FAMILY
Exemptions
$80,627
Seminole County GIS
Legal Description
LOT 5 BLK 12 TR B
TOWN OF SANFORD
PB 1 PG 56
Taxes
Value Summary
Tax Amount without SOH. $1,554.34
2016 Tax Bill Amount $1,554.34
Tax Estimator
• Save Our Homes Savings: $0.00 '
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority
2017 Working
Values
2016 Certified
Values
Valuation Method
CosVMarket
Cosl/Market
Number of Buildings
1
1
Depredated Bldg Value
$72,489
$69,402
Depredated EXFT Value
$80,627
s0
Land Value (Market)
$8,138
$8,138
Land Value Ag
$80,627
Schools
JusVMarket Value "
58,627
$77,540
Portability Adj
$177,200
Yes
Save Our Homes Adj
s0
s0
Amendment 1 Adj
s0
$0
P8G Adj
SO
$0
Assessed Value
$80,627
$77,540
Tax Amount without SOH. $1,554.34
2016 Tax Bill Amount $1,554.34
Tax Estimator
• Save Our Homes Savings: $0.00 '
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority
Assessment Value Exempt Values
Taxable Value
Page
City Sanford
580,627
$0
$80,627
SJWM(Saint Johns Water Management)
$80,627
$0
$80,627
County Bonds
$80,627
s0
$80,627
County General Fund
$80,627
s0
$80,627
Schools
$80,627
s0
$80,627
Sales
Description
Date
Book
Page
Amount
Qualified
Vadlmp
CERTIFICATE OF TITLE
5/1/2016
08689
0686
$100
No
Improved
TRUSTEE DEED
8/1/2013
08109
0211
$100
No
Improved
WARRANTY DEED
11/1/2006
06510
1042
$177,200
Yes
Improved
WARRANTY DEED
3/1/2006
06168
0467
$10,000
Yes
Vacant
PROBATE RECORDS
3/1/2006
1 06162
0017
$100
No
Vacant
Find Compsrabk 8819E
Land
Method Frontage Depth Units Units Price Land Value
FRONT FOOT 3 DEPTH 50.00 124.00 0 $175.00 58,138
Building Information
# I DescriptionI Year Bufleciive I ilt Fixtures I Bed I Bath I Base Area I Total SF I Living SF I Ext Wall I Adj Value I Repl Value I Appendages
Actu
http://parceldetail.scpafl.org/ParceiDetailInfo.aspx?PID=2519305AG I20B0050 12/15/2016
American Land Title Association ALTA Settlement Statement - Cash
Adopted 05-0172015
Albertelll Law
ALTA Universal ID:
$404 Cypress Center Drive
Suite 300
Tampa, FL 33609
File NOJEscrow No.:
TPA16-01470
Print Date & Time:
December 12, 2016 10:21 am
Officer/Escrow Officer:
Michael Vu
Settlement Location :
5404 Cypress Center Drive, Suite 300
Debit Credit
Tampa, FL 33609
Property Address: 1018 Pine Avenue
Sanford, FL 32771
Buyer: Yalin Tan
3460 Timberlane Dr.
Deland, FL 32720
Seller: U.S. BANK, N.A., SUCCESSOR TRUSTEE TO LASALLE BANK NATIONAL
ASSOCIATION, ON
3217 S. Decker Lake Drive
Salt Lake City. UT 84119
Settlement Date: December 12. 2016
Disbursement Date: December 12, 2016
copyright 2015 American land 7i0e Association Flle 0 TPA16.014701140
Au rights reserved Page 1 of 3 Printed on 1211VI O at 10:21:43AM by mvu
Seller
Descriptlon
Buyer
Debit*
Credit
Debit Credit
Financial
100,000.00 Sale Price of Property _
Deposit
100,000.00
1,000.00
Prorations/Adjustments _
77.46 County Taxes
12112/16- 12/31/16
Other Loan Charges
77.46
_
645.00
Title Lien Search to Skyline Lien Search, Inc.
Title Charges and Escrow/Settlement Charges
_
350.00
Title Attorney Fee to Albertelli Law
250.00
500.00
Title Search to Service Link
Title Settlement Closing Fee to Albertelli Law
500.00
3.26 ,
Title Statutory Surcharge to Service Link
copyright 2015 American land 7i0e Association Flle 0 TPA16.014701140
Au rights reserved Page 1 of 3 Printed on 1211VI O at 10:21:43AM by mvu
Acknowledgement
We/I have carefully reviewed the ALTA Settlement Statement and find it to be a true and accurate statement of all receipts
and disbursements made on my account or by me in this transaction and further certify that I have received a copy of the
ALTA Settlement Statement. Well authorize Albertelli Law to cause the funds to be disbursed in accordance with this
statement.
Buyer
%-/,, L i�--t
Yalin Tan
Seller
U.S. BANK, N.A., SUCCESSOR TRUSTEE TO
LASALLE BANK NATIONAL ASSOCIATION, ON
BEHALF OF THE HOLDERS OF BEAR
STEARNS ASSET BACKED SECURITIES I
TRUST 2007-HE3, ASSET-BACKED
CERTIFICATES SERIES 2007-HE3, by Select
Portfolio Servicing. Inc., a Utah Corporation as
Attorney In Fact
BY:
Name:
Escrow Officer
Copyright 2015 AMC$= land 11tie AstoWaUon Fge 0 TPA16-01470 / 140
Art rights resmved Page 3 of 3 Printed on 12/12/16 at 10:21:43AM by mw
Y
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. l 4.2009
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 1, as the owner of
1�
the property listed, may act as my own contractor with certain restrictions even though 1 do not have a
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.
1 understand that, as an owner -builder, I am the responsible party of record on a permit. 1 understand that I
may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed
0
in his or her name instead of my own name. 1 also understand that a contractor is required by law to be
NUI
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
or
lease. If a building or residence that 1 have built or substantially improved myself is sold or leased within
ul �p
in I year after the construction is complete, the law will presume that 1 built or substantially improved it
1
for sale or lease, which violates this exemption.
�4 (
1 understand that, as the owner -builder, I must provide direct, onsite supervision of the construction.
1 understand that 1 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
01 ��
employ have the licenses required by law and by city ordinance.
1 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. 1 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 1 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. l 4.2009
rl
�1
fl X
1(G
Property Address: LO
1, A L 1r\ T a, VA , 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.
yokih fc,
nature 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
t��
understand that the construction must comply with all applicable laws, ordinances, building codes, and
zoning, regulations.
/ .
I amof aware of construction practices and 1 have access to the Florida Building Codes.
1 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 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.
1 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.
'
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.
G�(,I
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
Lcivil
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: LO
1, A L 1r\ T a, VA , 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.
yokih fc,
nature 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
LEGAL D£SARIP710N. LOT 5, BLOCK 12
TOWN OF SANFORD, ACCORDING TO THE
PLAT THEREOF, AS RECORDED IN PLAT
BOOK 1, PAGE 56, OF THE PUSUC
RECORDS OF SEMINAL£ COUNTY,
FLORIDA.
r
1018 PINE AVENUE
SANFORD, FL
LONG
SURVEYING,
INC.
Long Surveying, Inc.
Specializing in Residential Surveying"
LB No. 7371
1061 S. Sun Dr. Ste. #1113
Lake Mary, FL 32746
Office 407-330-9717 or 407-330-9716
Fax 407-330-9775
wmv./ongsunvying.com
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ENG. DEPT.
A Ok to install 6 foot tall privacy fence with
g gate as shown on plan. 6 foot tall privacy
along 11th street shall not extend beyond
of the house. Fence shall be constructed
finished side facing outward.
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ADAL _ PRIVATE ORAWAGE AND ALLEY EASEUENT
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BEARINGS SHOWN HEREON ARE BASED UPON
THE CENTERLINE OF PINE AVENUE BEING
S 00'00'00 W ASSUMED
HOTEL
1) TMs aurwy Ir baare on the Ind 0raer0Ika as p*Wded by
VW Went
2) TMs -%ow)w hes not ma6aebd Ma /and dko'n he *a far
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may oRGct W ufb Cr ass of Ma AW
Do not recanabuet prgwfy am bam Lvldiq tin
l) No faotlp or owhoW how ban Bated -rapt ar aboan
YO7one p1°1 to or utt7tba how bon fooat d .rapt m
fence did 'lfhout ° sox*ry o'° Me a„Mm Umated
mk *Pda
d or L#m ,acwd and of a Florida
edge ed S WW.W aid Nwpw
adl1j.I c+ouly that Mb mWWy W= mods under my
with a od a n m I ft mhbmmn Skd ata
00
WV h chgmj I bnhb Cod4
oanumtt Statutes
W. No.5910
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ORID
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LEON L. HAMPTdIS P.SM. NO. 5910