HomeMy WebLinkAbout110 W 13 St (2)rP&mit #:
Job Address:
Description of Work:
Historic District: Zoning:
CITY OF SANFORD PERMIT APPLICATION
Date:
Value of Work: $ 9 b l� . 0c)
Permit Type: Building ✓ Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial
Total Square Footage:
Flood Zone: (FEMA form required for other than X)
Occupancy Type: Residential Commercial Industrial
Construction Type: # of Stories: # of Dwelling Units:
Parcel #: (Attach Proof of Ownership & Legal
Owners Name & Address: �! Qv- T Q Q -.e,— f D 175Ab'_ y,.\/ -,m@
Z!5z.•`l 7 Z Phone: `( a
Contractor Name & Address:
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Address:
State License Number:
Contact Person: Phone:
Phone:
Fax:
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Application is hereby made to obtain a pemvt 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.
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. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
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 p itis rific 'on that I will notify the ownero the p perty of the requirements of Florida Lien Law, FS 713.
S
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SijfatVe of Owner/Agent Date Signature of Contractor/Agent Date
nt A ent's N me Fri"t C"nt a o GRA E
YC MMChi 164 80 I a�`C7S—
i f Notary State of Florida DateRr�J Sig'�i'atyi6 1 tad t ��R� 4vices Date
..' P Ua'% FLORENCE A. DE GRAVE
*MY COMMISSION 4 DD 164280
Owner/ t is _ Pers own to Me or M
e EXPIIS�g person ly Known to Me or ( 2
oduced ID o Borde�4,'g;ioanhd
APPLICATION APPROVED BY: Bldg:HCC�oning: - Utilities: FD:
(Initial & Date) (Initial & Date) (Initial & Date) (Initial & Date)
Special Conditions:
il
i
r `
r CITY OF SANFORD BUILDING DIVISION
OWNER/BUILDER AFFIDAVIT
CONSTRUCTION CONTRACTING
Owners of property when acting as their own contractor and providing direct, onsite supervision
themselves of all work not performed by licensed contractors, when building or improving farm
outbuildings or one -family or two-family residences on such property for the occupancy or use of such
owners and not offered for sale or lease, or building or improving commercial buildings, at a cost not to
exceed $25,000, on such property for the occupancy or use of such owners and not offered for sale or
lease. In an action brought under this part, proof of sale or lease, or offering for sale or lease, of any such
structure by the owner -builder within 1 year after completion of same creates a presumption that the
construction was undertaken for purposes of sale or lease. This subsection does not exempt any person
who is employed by or has a contract with such owner and who acts in the capacity of a contractor. The
owner may not delegate the owner's responsibility to directly supervise all work to any other person
unless that person is registered or certified under this part and the work being performed is within the
scope of that person's license. For the purposes of this subsection, the term "owners of property"
includes the owner of a mobile home situated on a leased lot. To qualify for exemption under this
subsection, an owner must personally appear and sign the building permit application.
State law requires construction to be done by licensed contractors. You have applied for a permit under
an exemption to that law. The exemption allows you, as the owner of your property, to act as your own
contractor with certain restrictions even though you do not have a license. You must provide direct,
onsite supervision of the construction yourself. You may build or improve a one -family or two-family
residence or a farm outbuilding. You may also build or improve a commercial building, provided your
costs do not exceed $25,000. The building or residence must be for your own use or occupancy. It may
not be built or substantially improved for sale or lease. If you sell or lease a building you have built or
substantially improved yourself within 1 year after the construction is complete, the law will presume that
you built or substantially improved it for sale or lease, which is a violation of this exemption. You may
not hire an unlicensed person to act as your contractor or to supervise people working on yo buildin
is your responsibility to make sure that people employed by you have licenses required by state law and
by county or municipal licensing ordinances. You may not delegate the responsibility for supervising
work to a licensed contractor who is not licensed to perform the work being done. Any person working
on your building who is not licensed must work under your direct supervision and must be employed by
you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation
for that employee, all as prescribed by law. Your construction must comply with all applicable laws,
ordinances, building codes, and zoning regulations.
I, GHQ �,,� , do hereby state that I am qualified and capable of performing the
requested construction involved with the permit application filed.
I will assume full responsibility as an Owner/Builder Contractor, and will personally supervise all work
allowed by la the permitted structure.
S�Z��os
O uil er Signature Date
4SQw �C� Q Y�
Print Owner uilder Name
"' AnhThu T Nguyen
MYCOfmnission DD304015
• ort Expfts Mai Ch 25, 200$
igna otary—State of Florida Dat
Owner is Pe o lly Knowp to Me or has
Produced ID010
�orn" ., i+.•iarc UB
CITY OF SANFORD HISTORIC PRESERVATION BOARD
APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS
P.O. Box 1788, Sanford, FL 32772-1788
Phone: 407 330-5672 Fax: 407 330-5679
TO: THE HISTORIC PRESERVATION BOARD OF THE CITY OF SANFORD, FLORIDA
❑ Downtown Commercial Historic District ❑ Residential Historic District
❑ This application is filed in response to a notice from the Code Enforcement Department
ADDRES PR PE 1 f O 13 o
Pro e Owner
Signature: Print Name: 012--(.J h-6' -e— %
Mailing Address: • 3 ZZ . C ., 4-4q.A-t— 81--oc>, —A:h ci o Z 0 tL &),)Do)
Phone: H d 1 330 -` -LI O Fax: y O. --613— 0 S V q.
Applicant/Agent
Signature:
Mailing Address:
Print Name:
Phone: Fax:
I certify that all information contained in'this application is true and accurate to the best of my knowledge.
Applicant/Owner: Date:
Please use the attached criteria checklist as a guide to completing the application. Incomplete applications cannot be
reviewed and will be returned to you for more information. You are encouraged to contact the preservation planner at
407-330-5672 to make sure your application is complete.
Description of Proposed Work/Application Category: (Check all that apply)
❑ Site Improvements/driveway/walkway ❑ Storage shed ❑ Moving structures
❑ Replacement windows or doors ❑ Underskirting ❑ Awnings
❑ N w construction/additions ❑ Signs ❑ Demolition
00 gutters/downspouts ❑ AC/Mechanical O Fences/Gates/Pergolas
❑ Replacement siding/flooring/porch ❑ Paint ❑ Other
Completely describe the entire scope of work: all changes in material, color or location to the exterior of the building,
where on the property the work will occur and how the work will be accomplished. For large projects, an itemized list is
recommended. Attach additional pages if necessary.
r ac Y�
A Certificate of Appropriateness is valid for six months unless otherwise noted
OFFICIAL USE ONLY
Historic Preservation Board 7M'ng Date: Staff Review Date:
Application is Approved Approved with Conditions Denial:
Conditions:
Signed:
Date:
***This Certificate must be prominently displayed on the building when work is in progress***
FASHA ENG\Historic Preservation Board\C of A Application.doc
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
..Ire—web.seminole—county_title?parcel=2519305AG140401OO&cpad=13TH&cpad—num=I 105/26/2005
PR U -PER TV
APPRAEFsER
...... ........
407 05&$ -:7509
2005 WORKING VALUE SUMMARY
Value Method: Market
GENERAL
Number of Buildings: 1
Parcel Id: 25-19-30-5AG-1 404-0100 Tax District: S1-SANFORD
Depreciated Bldg Value: $29,350
Owner: GREEN ANDREW Exemptions:
Depreciated EXFT Value: $0
Address: 110 W 13TH ST
Land Value (Market): $11,700
City,State,ZipCode: SANFORD FL 32771
Land Value Ag: $0
Properly Address: 110 13TH ST W SANFORD 32771
Just/Market Value: $41,050
Subdivision Name: SANFORD TOWN OF
Assessed Value (SOH): $41,050
Dor: 08 -MULTI FAMILY LESS TH
Exempt Value: $0
Taxable Value: $41,050
Tax Estimator
SALES
Deed Date Book Page Amount Vac/Imp
WARRANTY DEED04/2001 04059 1268 $125,000 Improved
2004 VALUE SUMMARY
WARRANTY DEEDI 1/2000 04002 0343 $100 Improved
2004 Tax Bill Amount: $772
WARRANTY DEED01/2000 03946 0405 $121,000 Improved
2004 Taxable Value: $37,648
WARRANTY DEED02/2000 03807 0789 $31,500 Improved
DOES NOT INCLUDE NON -AD VALOREM
WARRANTY DEED08/1999 03735 1389 $30,000 Improved
ASSESSMENTE
WARRANTY DEED10/1979 01247 0555 $14,500 Improved
Find Comparable Sales within this Subdivision
LAND
LEGAL DESCRIPTION PLAT
Land Assess Method Frontage Depth Land Units Unit Price Land Value
LEG E 52 1/2 FT OF LOT 10 BLK 14 TR 4 TOWI�
FRONT FOOT &OFSANFORD
52 50 300.00 $11,700
.000
DEPTH
I PB 1 PG 60
BUILDING INFORMATION
Bid Num Bid Type Year Bit Fixtures Base SF Gross SF Heated SF Ext Wall Bid Value Est. Cost New
1 MULTI FAMILY 1925 6 644 1,288 1,288 SIDING AVG $29,350 $51,043
Appendage I Sqft UPPER STORY FINISHED / 644
NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorer,
tax purposes.
*** If you recently purchased a homesteaded property your next year's property tax will be based on Just/Market value.
..Ire—web.seminole—county_title?parcel=2519305AG140401OO&cpad=13TH&cpad—num=I 105/26/2005
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company:
License #:
Project Information
Owner: 0 4., je'0_'}
name
110 k1 3 S4 -
address
S A -Air --g PD �.7 7
phone
Permit #: 0, 2-;g C)
Subdivision:
Lot #: 10
I, 4" J CV"' , affiant, hereby affirm that I am the duly licensed
con ctor loof record for the above referenced permit, that all the foregoing information is true
and accurate, and that the dry -in, flashings at the above referenced address or lot has been
installed in accofdance y4 the applicable codes and standards.
Contractor:
signature
printed name
STATE OF FLORIDA
COUNTY OF_
This instrument was acknowledged before m this . day of CY\-,(3-
2x, by the
above referenced individual, , L7��_ , who acknow ged that he/she is a
duly licensed contractor with , and who acknowledged that
he/she was authorized to execute this document. He/she is either personally known to me or
produced � U q� 2, 1 \ j:_') as valid identification.
WITNESS my hand and seal this day of 20
Q�
NotAry Public
FLORENCE A.DEGRAVi,:
* * MY COMMISSION # DO 16428'
EXPIRES: November 12, 200r
Nj9rFOF FL°�\OP Bonded 7hru Budget Notary Service.