HomeMy WebLinkAbout812 Elm Avez- %95 CITY OF SANFORD PERNHT APPLICATION
Permit No.: 2 1 Date: - Q
Job Address:
Permit Type: Building _Esectr4eal Mechanical Plumbing Fire Alarm/Sprinkler
Description of Work:'
C l
Additional Information for Electrical & Plumbing Permits
Electrical: —Addition/Alteration _Change of Service —Temporary Pole _New AMP Service (# of AMPS j
Plum bing/Residentia1: 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: Resi de•Commercial _ Indu ,II Total Sq Ftg: `___ Value of Work: S
Type Of Construction: Flood Zone: F• )plumber of Stories: Number of Dwelling Units: _
Parcel No.: _ f Attach Proof of Ownership &Legal Description)
Owner/Address/Phon
Contractor/Address/Phone:
Contact Person:
Title Holder (If other than Owner):
Address:
Bonding Company:
Address:
Mortgage Lender:
Address:
Arch itect/En &eer
Address:
Phone & Fax Number:
State License Number:
Phone No.:
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.
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.
Acceptan of permit is ver ification that I ill n ify the owner of the property of the requirements of Florida Lien Law, FS 713.
lAignaturofwne /Agent Date Signature of Contractor/Agent Date
Agent's
11 v---1 . ,ern (o
F ~
18 -
of Notary -State o orida Date
NlY'i > CC 921808
NkxFn=
t'Elr {. 2004itlily:= T xySeriices
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Perso ally Known to Me or Contractor/Agent is
Produced ID Gj 3635 6'7?0j b Produced ID _
APPLICATION APPROVED BY:
Special Conditions:
Personally Known to Me or
Date: "' l V -O 2--
Parcel Identification Number
1. (If Parcel ID not available
please call County Property
Appraiser's Office)
FLORIDA DEPARTMENT OF REVENUE Approval Code LT8610141299
RETURN FOR TRANSFERS OF INTEREST IN REAL PROPERTY PHOTOCOPIES OF DR2i9
PLEASE READ INSTRUCTIONS ON THE BACK OF THIS FORM BEFORE COMPLETING) THIS FORM NOT R.0/.96
1 ACCEPTABLE LTFL
25-19-30-5AG-1007-003A
2. Mark (x) all Multi -parcel Transaction is a split Property was improved X
that apply transaction? or cutout from with building(s) at time
another parcel? of sale/transfer?
3. Grantor (Seller) Sanford Restoration and Development and Inc . , a Florida Corporation
235 W. Lake Faith Drive, Maitland, FL 32751
4. Grantee (Buyer) Kim M . Bedard
812 Elm Ave. South, Sanford, FL 32771
5. Date of Salerrransfer Salerrransfer Price
06 18 2002 $ 55, 000 , 00 Property 69 County Code
Located In
Month Day Year (Round to the nearest dollar)
6. Type of Document Contract/Agreement Other 7. Are there any mortgages on the property? ti "Yes", YES ! X NO
for Deed outstanding mortgage balance:
X Warranty Quit Claim $ 0
8. To the best of your knowledge, were there unusual circumstances to the sale/transfer?
such as: Forced sale by court order? Foreclosure pending? Distress Sale? Title defects? Corrective Deed? Mineral rights? YES / X NO
Sale of a partial or undivided interest? Related to seller by blood or marriage?
9. Was the sale/transfer financed? YES X / NO It "Yes"Agree e t irate type or types of financing:
or
Conventional X Seller Provided Contract for Deed Other
Institutional/
10. Property Type: Residential Commercial Industrial Agricultural Miscellaneous Government Vacant Acreage Timeshare
Mark (x) all
that apply X
11. To the best of your knowledge, was personal property
included in the sale/transfer? It "Yes", please state the YES / X NO
amount attributable to the personal property. (Round to the nearest dollar)
385.00
12. Amount of Documentary Stamp Tax
13. If no tax is due in number 12, is deed exempt from Documentary Stamp Tax under s. 201.02(6), Florida Statutes? YES / NO
Under penalties of perjury, I declare that I have read the foregoing return and that the facts stated in it are true. If prepared by someone other
that the taxpayer, his/her declaration is based on all information of which he/she has any knowledge.
Signature of Grantor or Grantee or Agent
Date 06/18/02
WARNING: FAILURE TO FILE THIS RETURN OR ALTERNATIVE FORM APPROVED BY THE DEPARTMENT OF REVENUE SHALL RESULT IN A
PI:NAI TY r)F $25.00 IN ADDITION TO ANY OTHER PENALTY IMPOSED BY THE REVENUE LAW OF FLORIDA,
To be completed by the Clerk of the Circuit Court's Office) Clerk's Date Stamp
O.R. Book
and
Page Number
and
File Number
Date Recorded
Month Day Year
nnov rn oonocmTv A000AIC'FQ
COPY TO DEPARTMENT Ur HtvtNVt UrrltiC
t
A
Property Owner:
Mailing Address:
Agent:
Address:
CITY OF SANFORD`
HISTORIC PRESER VATION BOARD
APPLICATION FOR A
CERTIFICATE OF APPROPRIATENESS
P.O. Box 1788, Sanford, FL 32772-1788
Phone: 407 330-5672 Fear: 407 330-5679
IPQerty Address: '
Phone Number. v
T
Fax Number:
Phone Number:
Fax Number.
Downtown Commercial Historic District: Residential Historic District: X
Describe all changes in material, color or location to the exterior of the building and property:
Applicant's
Owners'
r
Date:
Date:
OFFICIAL USE ONLY
Historic Preservation Board Meeting Date: Staff Review Date:
Application is Approved Ux- Approved with Conditio a
Conditions:
Denied
CITY OF SANFORD BUELDING DIVISION
OWNER/BUjU,DER 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 I 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 I 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, build i des, and zoning regulations.
I, ,o hereby state that I am qualified and capable of performing the
re que t construction involved with the permit application filed.
I will assume full responsilfility as an %Nmer/Builder Contractor, and will personally supervise all work
allowed by law on the pe tted structu .
Owner/Builder Name
4 h,9.&at n6p r18 'o l--
gnature of Notary —Staff of Florida Date
Owner is Personally no vn to a or ha
Produced ID C. / fog J
Jp ANN M. JOHNSON
f * M1Y ,;OW!iSSION # CC 921808 3,
204 5Mh2pcj, „
p4,Canoed Tr.ra a•jdgx Notary Services
PLAT OF SURVEY
for
XIM MARIE BEDARD
egal Description
THE NORTH 50 FEET OF LOT 3, BLOCK 10, TIER 7, E.R. TRAFFORW S MAP OF THE TOWN OF
SANFORD, according to the Plat thereof as recorded in Plat Book 1, Pages 56 through
64, of the Public Records of Seminole County, Florida.
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SCALE: 1 "= 30'
SURVEY NOTES:
1) The street address of the above described property is 812 ELM AVENUE, SOUTH.
2) The above described property lies in a Flood Zone X
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: //`
6 CERTIFIED CORRECT T0:
KIM M. BEDARD
KITNE SUR1/EYING, INC. THE CITIZENS BANK OF OVIEDO, ISADA
R. BLAIR KITNER - P.L.S. NO. 3382 FIRST AMERICAN TITLE INSURANCE CO.
Post Office Box 823, Sanford, F1. 32772-0823 HARRY G. REID, III, ATTY-AT-LAW
40 ) 322-2000
PROJECT NO: 01 _ 460 SURVEY DATE: 1 °i 5 E T. ZOd 1