HomeMy WebLinkAbout147 Pine Isle Dr (2)DEC 01 2016 CITY OF SANFORD
BUILDING & FIRE PREVENTION
113Y' "k _-_ PERMIT APPLICATION
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Application No: I (per��
Documented Construction Value: $ q0 . no
Job Address:' ` p '� r t ^ e -�'� e j�� Historic District: Yes ❑ No
Parcel ID: Residential Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: T ^ 5 �-� i �, �Jt,�� 0F w q +9- r ike "��
Plan Review Contact Person: it 5�-QP e-. p �� 1 / a� Title:
Phone: 2 t - (�s ax: Email: L_ S+e e a �Vl a / �e r • C o
1 I �� /� Property Owner Information
Name 5 -ee Y�.c ^ r' " ' ^ /' It %
Street: / W 7 P i n,5 < < 1,
City, State Zip:
Phone: 3,z
Resident of property? 3
Contractor Information
Name Phone:
Street:
City, State Zip:
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
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. 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. 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
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 1 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.
�� i,_� Al- I " � I / ) C_
Signature of Owner/Agent Date
Signature of Contractor/Agent Date
Print er/Agent's Name Print Contractor/Agent's Name
Z/I
S ature of `otary; �rp}g o Flori • a Signature of Notary -State of Florida Date
ANN ETTE SCOTT
Notary Public • State of Florida
• i My Comm. Expires Jan 16.2018
Commission # FF 071760
bonded Tl Q* Nylon! Ntllary Assn.
Owner/Agent is P—ersonally no to a or Contractor/Agent is Personally Known to Me or
Produced ID Type of ID L ( Produced ID Type of ID
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 Fire Alarm Permit: Yes ❑ No ❑
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Revised: June 30, 2015 Permit Application
c � t
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 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
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 1
may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed
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in his or her name instead of my own name. 1 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.
1 understand that 1 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 1 have built or substantially improved myself is sold or leased within
in 1 year after the construction is complete, the law will presume that 1 built or substantially improved it
for sale or lease, which violates this exemption.
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1 understand that, as the owner -builder, 1 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
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persons working on my building or residence. It is my responsibility to ensure that the persons whom I
have licenses by law by
employ the required and 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
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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
7 ✓---.
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. 1 understand that my failure to follow these laws may subject me to serious financial
risk.
Rev. 9.14.2009
Property Address. I L4
i n e Cly , c`
YV� A , 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
Form of Identification L
(Must be Photo ID)
Date
III I 1),r->4
A
zo4
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, 1 will
abide by all applicable laws and requirements that govern owner -builders as well as employers. I also
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understand that the construction must comply with all applicable laws, ordinances, building codes, and
zoning regulations.
5
1 am of aware of construction practices and I 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 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
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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. I L4
i n e Cly , c`
YV� A , 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
Form of Identification L
(Must be Photo ID)
Date
III I 1),r->4
A
zo4
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
SCPA Parcel View: 10-20-30-511-0000-1150
NOMCFaA021100PPR%.
Parcel Information
Page 1 of 2
Property Record Card
Parcel: 10 -2D -3D-511-0000-1150
Owner: MARLER STEPHEN W& MEI -EN
Property Address: 147 PINE ISLE OR SANFORD, FL 32773
Parcel 10-20-30-511-0000-1150
Owner MAKER STEPHEN W& MEI -EN
Property Address 147 PINE ISLE DR SANFORD, FL 32773
Mailing 147 PINE ISLE DR SANFORD, FL 32773
Subdivision Name STERLING WOODS
Tax District St-SANFORD
DOR Use Code 01 -SINGLE FAMILY
Exemptions DD-HOMESTEAD(2010)
Legal Description
LOT 115
STERLING WOODS
PB 54 PGS 93 THRU 95
Taxes
Value Summary
Tax Amount without SOH: $2,273.26
2016 Tax Bill Amount $1,373.46
Tax Estimator
Save Our Homes Savings: $899.80
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority
2017 Working
Values
2016 Certified
Values
Valuation Method
C031/Markel
Cost/Market
Number of Buildings
1
1
Depredated Bldg Value
$134,475
$128,980
Depredated EXFT Value
$109,856
$50,000
Land Value (Market)
$25,000
$25,000
Land Value Ag
$59,856
Schools
Just/Market Value "
$159,475
$153,980
Portability Adj
$153,000
Yes
Save Our Homes Adj
$49,619
$44.888
Amendment 1 Adj
0131
$120,100
P&G Adj
s0
so
Assessed Value
$109,856
$109,092
Tax Amount without SOH: $2,273.26
2016 Tax Bill Amount $1,373.46
Tax Estimator
Save Our Homes Savings: $899.80
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority
Assessment Value Exempt Values
Taxable Value
Page
City Sanford
$109,856
$50,000
$59,856
SJWM(Saint Johns Water Management)
$109,856
$50,000
$59,856
County Bonds
$109,856
$50,000
$59,856
County General Fund
$109,856
$50,000
$59,856
Schools
$109,856
$25,000
$84,856
Sales
Description
Date
Book
Page
Amount
Qualified
Vadlmp
SPECIAL WARRANTY DEED
3/1/2009
07178
1332
$155,000
No
Improved
CERTIFICATE OF TITLE
5/1/2008
06997
1366
$100
No
Improved
WARRANTY DEED
5/1/2003
04846
0749
$153,000
Yes
Improved
SPECIAL WARRANTY DEED
12/1/2000
03985
0131
$120,100
Yes
Improved
WARRANTY DEED
6/1/2000
03877
1780
$436,000
No
Vacant
Find Comparable $ales
Land
Method Frontage Depth Units Units Price Land Value
LOT 1 $25,000.00 $25,000
Building Information
p I Description I YearBuilt I Fixtures I Bed I Bath I Base Area I Total SF I Living SF I Ext Wall I Adj Value I Rept Value I Appendages
ActuallEffhttp://parceidetail.scpafl.org/Parce]Detaillnfo.aspx?PID=10203051100001150 12/1/2016
SCPA Parcel View: 10-20-30-511-0000-1150
1111 SINGILE 12000 I 71 21 L01 1,8741 2,290
FAM
Permits
Page 2 of 2
1,874 CB/STUCCO $134,475 $143,058 Description I Area
FINISH
OPEN
PORCH 38.00
FINISHED
GARAGE
00
FINISHED'
Permit #
Description
Agency
Amount CO Date
Peri) Date
03034
NEW -RESIDENTIAL
SANFORD
$83,000 12/29/2000
7/3/2000
03037
ADDITION - RESIDENTIAL
SANFORD
50
7/1/2000
03038
ADDITION - RESIDENTIAL
SANFORD
s0
7H/2000
03035
ADDITION - RESIDENTIAL
SANFORD
SO
7/1/2000
Extra Features
Description Year Built Units Value New Cost
No Extra Features ::1
http://parceldetail.scpafl.org/Parce]DetailInfo.aspx?PID=10203051100001150 12/1/2016