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Home My WebLink About1600 W 17 StAdditional Information for Electrical & Plumbing Permits Electrical: —Addition/Alteration _Change of Service Temporary Pole New AMP Service (# of AMPS ) Plumbing/Residential: Addition/Alteration New Construction (One Closet Plus Additional) Plumbing/Commercial: Number of Fixtures Number of Water & Sewer Drainage Lines Number of Gas Lines Occupancy Type: _Residential _Commercial _Industrial Total Sq Ftg: Value of Work: $ t I Type of Construction: Flood Zone: Number of Stories: Number of Dwelling Units: Parcel No.: Contractor/Address/Phone: Contact Person: Title Holder (If other than Owner): Attach Proof of Ownership & Legal State License Number: Phone & Fax Number: _ Address: ' Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer Phone No.: Address: Fax No.: 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. I 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 FINANCINC,T, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. A 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, 713. Signature f er/Agents= Date Signature of Contractor/Agent Date Print Owner/Agent's Na A r m • 3 r° _.-,tTA&". JOHNSON MY COMMISSION 0 CC 921808Al"'.a EXPIRES: March 23, 2004 I,' Bonded Th•u Budget Notary Service. Owner/Agent is Personally Known to Mgt Produced ID GL D L 5L6:Y 40407O Print Contractor/Agent's Name Signature of Notary -State of Florida Date Contractor/Agent is Personally Known to Me or Produced ID I c t APPLICATION APPROVED BY: T Date: VV Z I Special Conditions: CITY OF SANFORD BUILDING DIVISION OWNER/BUILDER AFFIDAVIT CONSTRUCTICrN CONTRACTING Jor O,,yners 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 commcreial 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 I scar 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 o\vncr*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 propemr" includes the owner of a mobile ]ionic 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 \-our 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 constriction \-ourself. You may build or improve a one -family or two-family residence or a farm outbuilding. )'oil may also build or improve a commercial building. provided \°our 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 \-oil sell or lease a building you have built or substantially improved yourself within I year after the construction is complete. the lacy 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 \-our responsibility to make sure that people employed b you have licenses required by state lacy 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 Nyork being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by ou. which means that you must deduct F.i.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by laA . Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. 011 do hereby state that I am qualified and capable of performing the requested coiistnktion involved xvith the pennit-application filed. 1 \yill assume full responsibility as an Owncr/Buildcr Contractor; and will personally supervise all work allowed by lacy on the permitted stricture. Ae-9V ':3 Alv_aelv Owner/Builds Signature Date Print O\yn /Buildcr Namc JO ANN M. JOHNSON ignalurc of Notan—Slat of Florida Datc , MYCOIAMISSIONACC921W8 OF EXPIRES: March 23,2W4 3 Boot" hru sudW Notary Services Owner is Personally n Produced ID FLAL J 1 7 Seminole County Property Appraiser Get Information by Parcel Number Page I of 2 PARCEL DETAIL IF f , WOF 1 a7 1,9 i + 1 ` r .. L W 4RTH CT GENERAL Parcel Id: 35-19-30-513-0100- Tax District: S1-SANFORD 0170 Owner: JOHNSON BETTY & Dor: 01-SINGLE FAMILY Own/Addy: HAMPTON ZED Address: 126 E MILL RUN Exemptions: - City,State,ZipCode: BRADENTON FL 34202 Property Address: 16W 17TH ST W VALUE SUMMARY SANFORD 32771 Value Method: Market Subdivision Name: PINE LEVEL Number of Buildings: 1 SALES Depreciated Bldg Value: $13,576 Deed Date Book Page Amount Vac/Imp Depreciated EXFT Value: $0 SPECIAL WARRANTY DEED 01/2002 04318 0981 $11,500 Improved Land Value (Market): $3,058 CERTIFICATE OF TITLE 06/2001 04101 0350 $100 Improved Land Value Ag: $0 QUIT CLAIM DEED M2000 03863 1099 $100 Improved 16,634 CORRECTIVE DEED 06/2000 03863 1098 $100 Improved Assessed Value (SOH): $16,634 CORRECTIVE DEED 06/2000 03863 1097 $100 Improved Exempt Value: $0 CORRECTIVE DEED 06/2000 03863 1096 $100 Improved Taxable Value: $16,634 CORRECTIVE DEED 06/2000 03863 1095 $100 Improved 0 WARRANTY DEED 11/1997 03328 0243 $100 Improved WARRANTY DEED 1111997 03328 0241 $100 Improved WARRANTY DEED 11/1997 03328 0239 $100 Improved WARRANTY DEED 11/1997 03328 0237 $100 Improved WARRANTY DEED 11/1997 03328 0235 $100 Improved QUIT CLAIM DEED 01/1990 02146 1685 $100 Improved QUIT CLAIM DEED 01/1977 01144 1603 $100 Improved LAND Land Assess Method Frontage Depth Land Unit Land LEGAL DESCRIPTION Units Price Value LEG LOT 17 BLK 1 PINE LEVEL PB 6 PG 36 FRONT FOOT & 49 133 000 6500 $3,058 DEPTH 11 BUILDING INFORMATION Bid Num Bid Type Year Bit Fixtures Gross SF Heated SF Ext Wall Bid Value Est. Cost New 1 SINGLE FAMILY 1940 3 1.080 933 SIDING AVG $13,576 $24,684 Appendage / Sgft ENCLOSED PORCH FINISHED / 84 Appendage / Sgft ENCLOSED PORCH UNFINISHED / 63 re_web. semi nole_county_title?parcel=35193051301000170&cpad= 17th&cpad_num=1600iO3/ 1 1 /2002 Seminole County Property Appraiser Get Information by Parcel Number Page 2 of 2 NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax purposes. If re_web.seminole_county_title?parcel=35193051301000170&cpad=17th&cpad_num=1600 03/11/2002