HomeMy WebLinkAbout1616 E 4 StPermit # : n I ��
Job Address:
Description of Work:
CITY OF SANFORD PERMIT APPLICATION
-b--
Date:
Historic District: Zoning: Value of Work: $
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
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #:
Owners Name & Address:
Contractor Name & Address:
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender: .
Address:
Architect/Engineer:
Address:
Contact Person:
(Attach Proof of Ownership & Legal Description)
Phone:��^i�"3-�
State License Number:
Phone:
Fax:
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.
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 YOUI4 NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of Jis 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 pets required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is
Signature of
Rrint Owner/.
Signature of
Owner/Agenttisw-
Produced ID
the owner of tke pr¢perty o requirements of Florida Lien Law, FS 713.
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
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of
of FITf BIB BLANT D
ON
A'iY Ci^f;; ,1i.;S!GN # DD 188491
February 25, 2007
Signature of Notary -State of Florida Date
Contractor/Agent is _ Personally Known to Me or
Produced ID
1
APPLICATION APPROVED BY: Bl Zoning. te' Utilities: FD:
(Initial z Date) (Inrtial & Date) (Initial & Date) (Initial & Date)
Special Conditions:
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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 your building. It
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.
/' rte"
I,A e do hereby state that I am qualified and capable of performing the
requestecrconstruction involved with the permit application filed.
I will assume full respons ility as an Owner/Builder Contractor, and will personally supervise all work
allowed by law op, the pe fitted structure.
Owner/Builder
Print Owner/Builder Name
Signature of Notary—Stat oM
a Date
DEBBIE BLANTON
My COMMSSSION # DD 188491
r^I'IWES: February 252007
Owner is Person 1 Knawn-Ag Me or 4a_,
f .Jo ary iscount Assoc. Co.
Produced ID �.v._
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
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PROPERTY
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2005 WORKING VALUE SUMMARY
GENERAL
Value Method: Market
30-19-31-502-0200-
Number of Buildings: 1
Parcel Id: 0070 Tax District: S1-SANFORD
Depreciated Bldg Value: $102,955
Owner: TRIPLETT JEFFREY Exemptions: 00-
C & BRANDI M HOMESTEAD
Depreciated EXFT Value: $0
Land Value (Market): $22,989
Address: 1616 E 4TH ST
Land Value Ag: $0
City,State,ZipCode: SANFORD FL 32771
Just/Market Value: $125,944
Property Address: 1616 4TH ST E SANFORD 32771
Assessed Value (SOH): $115,454
Subdivision Name: MARVANIA 1ST SEC
Exempt Value: $25,000
Dor: 01 -SINGLE FAMILY
Taxable Value: $90,454
Tax Estimator
SALES
2004 VALUE SUMMARY
Deed Date Book Page Amount Vac/Imp
Tax Value(without SOH): $1,785
WARRANTY DEED 09/2003 05059 1337 $127,500 Improved
2004 Tax Bill Amount: $1,785
WARRANTY DEED 08/2001 04167 1041 $62,100 Improved
Save Our Homes (SOH) Savings: $0
WARRANTY DEED 08/1993 02628 0284 $68,000 Improved
2004 Taxable Value: $87,091
WARRANTY DEED 01/1973 00970 1057 $16,800 Improved
DOES NOT INCLUDE NON -AD VALOREM
Find Comparable Sales within this Subdivision
ASSESSMENTS
LAND
LEGAL DESCRIPTION PLAT
Land Assess Method Frontage Depth Land Unit Land
Units Price Value
LEG S 29 FT OF LOT 7 + ALL LOT 8 BLK 2
1ST SEC MARVANIA
FRONT FOOT & 79 135 .000 300.00 $22,989
PB 4 PG 100
DEPTH
BUILDING INFORMATION
Bid Bid Type Year Fixtures Base Gross Heated Ext Wall Bid Est. Cost
Num Bit SF SF SF Value New
1 SINGLE 1948 3 1,215 1,910 1,215 CB/STUCCO $102,955 $122,931
FAMILY FINISH
Appendage / Sgft SCREEN PORCH FINISHED / 240
Appendage / Sgft OPEN PORCH FINISHED / 15
Appendage / Sgft GARAGE FINISHED/ 440
NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad
valorem tax purposes.
— If you recently purchased a homesteaded property your next ear's property tax will be based on Just/Market value.
/re web.seminole_county_title?PARCEL=30193150202000070&cowner--TRIPLETT%&cct5/11/2005
PLAT OF BOUNDARY SURVEY
for
JEFF TRIPLETT
Legal Description
THE SOUTH 29 feet OF LOT 7 and ALL LOT 8, BLOCK 2, 1s' SECTION MARVANIA, according to the
Plat thereof as recorded in Plat Book 4, Page 100, of the Public Records of Seminole County, Florida.
W
"' SCALE: 1"=30'
SURVEY NOTES:
1) The street address of the above-described property is 1616 4th STREET EAST.
2) The above-described property lies in a Flood Zone X
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SURVEYOR'S CERTIFICATE
This is to certify that I have made a Survey of the above described property and that the plat hereon delineated
is an accurate representation of the same. I further certify that this Survey meets the Minimum Technical
Standards set forth by the Florida Board of Land Surveyors pursuant to Section 427.027 of the Florida Statutes.
REVISIONS: CERTIFIED CORRECT TO:
JEFF b BRANDI TRIPLETT
KI NE SURVEYING, INC. FLAGSTAR BANK, F.S.B., ISAOA
R. BLAIR KITNER - P.L.S. N0. 3382 FIDELITY NAT'L TITLE INSURANCE CO.
Post Office Box 823, Sanford; Fl. 32772-0823
(4D7) 322-2000
PROJECT NO: 03-734 SURVEY DATE: Zd AUGUST 2003