HomeMy WebLinkAbout800 Escambia DrCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: S
/ 6, - 3v e-3
Job Address: o b�S C a4nn 6 I a _Y� r • .Sckn tbrd 3a 77 i Historic District: Yes ❑ No 0
Parcel ID: _3 - /1% - 3 l - So 9 - / 9-- o o - o a iy Residential 0 Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: Sys s a // eJ h ; -�,e 0 n J
�a S — / t,,)4 ( ire 4 e__
Plan Review Contact Person: '14a b e us Title:
Phone: x/07 3nP-q5-/ 4 Fax: Email:
Property Owner Information 3� 3�� _ 6 7o -7 C
Name Na ke )5 u 3 Phone: (qo-7) _30,z;1 -95-1V At
Street: i c., - r Resident of property?
City, State Zip: �'o ✓d , R. 3.:;1 -27
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: Mortgage Lender:
Address: 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
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.
Signature of Owner/AgYnt Date
Print Owner/Agent's Name
DEBBIE BIAt0
MY COMMISSION 9 FF 178648
EXPIRES: February 25, 2019
Bended Thru Notary Pubes
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Kn%gwn to Me or Contractor/Agent is Personally Known to Me or
Produced ID Type of ID �1,1;E: Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas❑ Roof ❑
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use: Flood Zone:
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:K4�11 TILITIES:
ENGINEERING: FIRE:
COMMENTS:
WASTE WATER:
M-*,liJ I A 131�L
Revised: June 30.2015 Permit Application
SCPA Parcel View: 31-19-31-508-1800-0210
If PAPRAISER
s(r�ao�c oourrry nd+a
Parcel Information
Page 1 of 2
Property Record Card
Parcel: 31-19-31-508-1800-0210
Owner: DE JESUS MABEL
Property Address: 800 ESCAMBIA DR SANFORD, FL 32771
Parcel
31-19-31-508-1800-0210
Owner
DE JESUS MABEL
Property Address 800 ESCAMBIA DR SANFORD, FL 32771
Mailing
800 ESCAMBIA DR SANFORD, FL 32771
Subdivision Name
SAN LANTA 2ND SEC
Tax District
S1-SANFORD
DOR Use Code
01 -SINGLE FAMILY
Exemptions
00-HOMESTEAD(2001)
Legal Description
LOTS 21 + 22
BLK 18
2ND SEC SAN LANTA
PB 4 PG 40
Taxes
Value Summary
Tax Amount without SOH: $530.75
2016 Tax Bill Amount $521.78
.1, Tax Estimator
Save Our Homes Savings: 58.97 • = '
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
Depreciated Bldg Value
$35,559
$34,787
Depreciated EXFT Value
$54,435
$29,935
Land Value (Market)
$20,457
$20,457
Land Value Ag
$24,500
County General Fund
Just/Market Value "
$56,016
$55,244
Portability Adj
1,098
CONC
Save Our Homes Adj
$1,581
$1,187
Amendment 1 Adj
P&G Adj
$0
$0
Assessed Value
$54.435
$54,057
Tax Amount without SOH: $530.75
2016 Tax Bill Amount $521.78
.1, Tax Estimator
Save Our Homes Savings: 58.97 • = '
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority
Assessment Value Exempt Values
Taxable Value
Page
Schools
$54,435
$25,500
$28,935
City Sanford
$54,435
$29,935
$24,500
SJWM(Saint Johns Water Management)
$54,435
$29,935
$24,500
County Bonds
$54,435
$29,935
$24,500
County General Fund
$54,435
$29,9351
$24,500
Sales
Description
Date
Book
Page
Amount Qualified
VarJlmp
WARRANTY DEED
7/1/2000
103899
10632
1$58.000 1 Yes
Improved
PROBATE RECORDS
5/1/1999
1 03651
11095
1$100 1No
Improved
Find Comparable Sates
Land
Method Frontage Depth Units Units Price Land Value
FRONT FOOT & DEPTH 11400 134.00 0 $185.001 $20,457
Building Information
k Rnd/Rath moot inmrcnet9 Click Horn
# Description Year Built Fixtures
Bed
Bath
Base Area
Total SF
Living SF
Ext Wall
Adj Value
Repl Value
Appendages
ActuallE4ective
1 SINGLE 1950 3
2
1.0
720
1,828
1,098
CONC
$35,559
$72,941
Description Area
FAMILY
BLOCK
250.00
http://parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=31193150818000210 11/16/2016
SEMINOLE COUNTY MULTI%URISDICTIONAL
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)
Property Address: F00 m b ) a `6 r
, do hereby state that I am qualified and capable
of performing the re'questO construction involved with the permit application filed and agree to the conditions specified
Signature of wrier -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.
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 Improved for
sale or lease. If a building or residence that I have built or Improved myself Is sold or leased within in 1 year after the construction Is complete,
the law will presume that 1 built or 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
It Is my responsibility to ensure that the persons whom I employ have the licenses required by law and by county or municipal
)Mfresidence.
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 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 reauldna the withholding of federal Income tax and social security contributions under the Federal Insurance
QContributions
Act 1FICAt and must provide workers' compensation for the employee. I understand that my failure to follow these laws may
subject me to serious financial risk.
I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and
D
requirements that govem 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 the necessary construction practices for the work I will be doing. I am sufficiently aware of the Florida Buildina Code to conduct
this work and I have access to the Florida BUIlding Code.
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.mynorida.com/dbpr/profcllbl 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.
1 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
asslat 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: F00 m b ) a `6 r
, do hereby state that I am qualified and capable
of performing the re'questO construction involved with the permit application filed and agree to the conditions specified
Signature of wrier -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.
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