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Home My WebLink About2403 Chase AveCITY OF SANFORD I 'cCE(A'If BUILDING & FIRE PREVENTION PERMIT APPLICATION N0V 1 ¢ 201& B, Y._ 5 Application No: Documented Construction Value: $-1 W Job Address: c2�3 Cease f � u P � Historic District: Yes ❑ No ❑ Parcel ID: Type of Work: New ❑ Addition ❑ Alteration ❑ Description of Work: S(n (V -m4 (_n Residential ❑ Commercial ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Plan Review Contact Person: G -M 16 S c I aZC'gJ Ckl Title: Phone: Ob9-gt110 Fax: Email: , la4�2nn l l( eofTiad-C&n M Lf30 3 Property Owner Information NameU(2tY1. Street: City, State Zip: Name Street: City, State Zip: Phone: (Y720-437% Resident of property? Contractor Information Phone: Fax: State License No.: Architect/Engineer Information Name: Phone: Street: City, St, Zip: Bonding Company: Address: 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: 5111 Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application 11 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. Offficlo Signature of Contractor/Agent Date Print Contractor/Agent's Name Signature of Notary -State of Florida Date ANNETTE SCOTT Notary Public• State of Florida "s ;• •� My Comm. Exp; Jan 16, 2018 '•%�.a,�d?� Commlaalon / FF 011180 Ownerh e r Contractor/Agent is Personally Known to Me or Produced ID Type of ID 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 Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads APPROVALS: ZONING: UTILITIES: ENGINEERING: FIRE: CONEVIENTS: Plumbing - # of Fixtures Fire Alarm Permit: Yes ❑ No ❑ WASTEWATER: BUILDING: Revised: June 30, 2015 Permit Application City of Sanford Roof Permit Application Checklist 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: 4Y Building Permit Application completed, signed and notarized. Application must include correct address and complete parcel I.D. number. 014 Copy of applicable contractor's license issued by the State of Florida (if the contractor is the applicant). PLA 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. D A 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). $o,�Completed and signed Owner Builder Statement / Affidavit (if the owner is the applicant). These guidelines were compiled to assist the applicant in preparing a roof permit application and may not be complete. The applicant is required to meet all City of Sanford, state, and federal code requirements. 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 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 3)7 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 1 built or substantially improved it for sale or lease, which violates this exemption. JJ 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 J J 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 Property ctlase_ *&,, o & I �� 1, s 1 CSS F - �A 6L WS wt and capable of performing the requested coi conditions specified above. I' Ca,, JdS 6f -do hereby state that I am qualified ved with the permit application filed and agree to the l Signa re f wner-Builder Date Form of Identification (Must be Photo ID) 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 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 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 ctlase_ *&,, o & I �� 1, s 1 CSS F - �A 6L WS wt and capable of performing the requested coi conditions specified above. I' Ca,, JdS 6f -do hereby state that I am qualified ved with the permit application filed and agree to the l Signa re f wner-Builder Date Form of Identification (Must be Photo ID) 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: 36-19-30-548-0000-0090 rPAP010PPAffR. Parcel Information Property Record Card Parcel: 36-19-30-548.0000.0090 Owner: JACKSON JAMES F & JAPONICA Property Address: 2403 CHASE AVE SANFORD. FL 32771-4173 11 Value Summary Parcel 36.19-30.548.0000.0090 Owner JACKSON JAMES F & JAPONICA Property Address 2403 CHASE AVE SANFORD. FL 32771-4173 Mailing PO BOX 470012 LAKE MONROE, FL 32747 Subdivision Name DREAMWOLD 3RD SEC REPLAT Tax District S7-SANFORD DOR Use Code 01 -SINGLE FAMILY Exemptions $75,859 Seminole County GIS Legal Description LOT 9 DREAMWOLD 3RD SEC REPLAT PB 52 PG 84 Taxes Page 1 of 2 Tax Amount without SOH: $1,468.24 2016 Tax Bill Amount $1,468.24 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 Cost/Market Cost/Market Number of Buildings 1 1 Depredated Bldg Value $66,426 $63.812 Depredated EXFT Value $75,859 $0 Land Value (Market) $9,433 $9,433 Land Value Ag $75,859 County General Fund Just/Market Value " $75,859 $73,245 Portability Adj 1,0971 CCO Save Our Homes Adj $0 $0 Amendment 1 Adj $0 $0 P&G Adj $0 $0 Assessed Value $75,859 $73,245 Tax Amount without SOH: $1,468.24 2016 Tax Bill Amount $1,468.24 Tax Estimator Save Our Homes Savings. $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value Page Schools $75,859 $0 $75,859 City Sanford $75,859 $0 $75,859 SJWM(Saint Johns Water Management) $75,859 $0 $75,859 County Bonds $75,859 s0 $75,859 County General Fund $75,859 s0 $75,659 Sales Description Date Book Page Amount Qualified Vadlmp QUIT CLAIM DEED 6/15/2009 07193 1187 $30,000 No Improved CORRECTIVE DEED 4/1/2002 04395 1058 $100 No Improved WARRANTY DEED 1/1/1999 03603 1575 $73,000 Yes Improved Find Comparable Sales Land Method Frontage Depth Units Units Price Land Value FRONT FOOT & DEPTH 55.001 136.001 1$175.001 $9,433 Building Information Is FSeofdain Count incorrect? crack Here # Description Year Built ActuallEtfeolive Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages 1 SINGLE 1999 6 3 2_0 1,097 1,376 1,0971 CCO $66,426 $71,044 Description Area FAMILY I F N/ SH I 26.00 http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=36193054800000090 11/14/2016 SCPA Parcel View: 36-19-30-548-0000-0090 Permits Page 2 of 2 OPEN PORCH FINISHED GARAGE 253 00 FINISHED Permit # Description Agency Amount CO Date Permit Date 00330 ADDITION - RESIDENTIAL SANFORD $12,000 11/1/1998 00330 NEW - RESIDENTIAL SANFORD $0 12/30/1998 10/1/1998 01708 NEW -RESIDENTIAL SANFORD $72,890 4/1/1998 Extra Features Description I Year Bulk I Units I Value I New Cost No Extra Features http://parceldetaii.scpafl.org/ParcelDetailInfo.aspx?PID=36193054800000090 11/14/2016 CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #J� I b hereby acknowledge that I personally inspected TJ 0 Roof deck nailing and/or D Secondary water barrier work at, 03 Gia u A/6 �, 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 837.06 F.S. Si nat �f Contractor �I'c Printed Name of Contractor License # License Type: 0 General 0 Building 0 Residential 0 Roofing Contractor 0 or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF Sworn t (or affirmed.) and subscribed before me this I Z day of , 20 by avu•c,, ) Ck L4,&ave , who is "ersonally Known to me or has 0 Produced (type of idetion) as identification. (SEAL) Ngaamre oz ivocaryr}�anc �S of Florida (J +v BEATRIZ ENID COIIAZO AIICEA £�G4+ e__ E � llC`� A'L �'�,Q� 3 . ,. �► # FF 171584 :•; �''�:.: Commission Print/Type/Stamp Name i Expires October 26, 2018 of Notary Public ` P"'�,�' Ow4W INY ?my FWn Owimm K6,Q5.Mto 3