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HomeMy WebLinkAbout1018 Pine Ave (2)KI\4"tr`� ISi9 �r 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 � RPAPPR AftWMCFA 96 txw+aL oou►m: rau+xv+ 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 AuW er. aNEtarEO er KZR BRETT CINWED D Tit YALW TAN 120 W N PANEL• SLOM F.LAM OAK-- 0070 F 09/28/07 FLNEOOD za: SURItY Na FIELD DALE: 77089 11/23/16 boundary Survey I( LOT 10 1 as N 027839' E 5a 09rAj y� 50 OOTP] —zsoo' e' 1 237 ORT ROAD >` 1 1 LOT 5 1 IBLOCK 12 � 1 a I t0 V I C tx w 1 � 317 3I 1 g ONE 'STORY h l ,x/018 I T H I 1 I IXs/* 0 0,0 I , m _ S 00100'00' W. 49.99(MJ ' 50.00[P] ' _ RNE AVENUE _ S 0017000' W (66• R/W) Wlii P LOT 4 mom SCALE. 1 "=30' -AP_PROVED P Lnl i 5 Re �a 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. A/a; - ABP L10WROMN AE - ALLEY EASDOWT arm BLOB( 00%VW Lauf - SLOW Ca - O%\VP ETE SLOW CAS - COAKRm BLOBLOWSMWAWE CBL - caNamw LloR wwr WA O.E - ORAOE c4saamr cap. - EDGE OF PAv9owr rcc - Fvmv , ,ss our rF.E - FV4S1 V FLOOR ELEVAMW Fm Fume ba - B9MW7C41XW LP. - bales PPE LR - WON ROD LRC - am ROD t CAP L - ARC LENGTH UL - LAND SiO YWO BUSWW LS - LAND S1W4E1gR GIPE LE - LANDSEASEWINr Y - LIEit.SWED ME - IMAWTENANCE EA5EILENT NSD - NAL AND DISK P - PLAT RE - PEDEW)RAN EASEWWTNT P.c - POOr awmnm NT P.ca - POOF calm AfD QAP nmr P.CP. - FoommDfT cavmaL Pow AL - PROPERLY LWE NT Aaa - POor EBr6omm P.ac - PANT aT cohaaTR�igm P.aL - POW ON LDC PAC - Par OF Afmo i oC w Pam - PmAmNr RLFEADKr mON AL£Nr ADAL _ PRIVATE ORAWAGE AND ALLEY EASEUENT AT - POWr OF TANGONT R/Ir - a W MAY S/Ir - SIDEWALK uE - un ury EASEmNr W.F.S - WOOD FRAUE smvcnRE A HT CF WAY LOC CINTETRWE x BAR& KW FEMMNCEOMAs4' N000 FE — — Qw LO& FDKLr --F-� PLAS'nc FEWr 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 aawmants rob of nay v resWeims of mead .hlelr 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 / ORID '•�O a.a.o.. a.�' LEON L. HAMPTdIS P.SM. NO. 5910