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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: VL 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 �. Z(0/0 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.