HomeMy WebLinkAbout1305 S Myrtle St'' I�CITY OF SANFORD PERMIT APPLICATION
Application H: J'� DS Submittal Date: ,�
b Address: 11 5 . �� %L� �V,- of -Wo k: $_ OQ t G+ D
Parcel ID: Zoning: Historic District:
CU ription of Work: ad Square Footage:
.........................................................................................................................
Permit Type: Building ❑ Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑
Electrical: New Service - # of AMPS Addition/Alteration ❑ Chanoe of Service ❑ Temporary Pole ❑
Mechanical: Residential ❑ Non -Residential ❑ Replacement ❑ New ❑ (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines
Plumbing/New Residential: # of Water Closets
Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑
# of Gas Lines
Plumbing Repair -Residential ❑ Commercial ❑
Occupancy Use Group(s):
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required )
.....................................................................................................................
Prot perty'Owner: �T� )!� 10 Contractor:
Address: 19a AAM�_c Address:
Pho e3n_-1- SAWt{E-mail: Phone: State License Number:
Bonding Company: Mortgage Lender:
Address
Architect/Engineer:
Address
Plan Review Contact Person:
Address:
Phone: Fax:
Phone:
Fax:
E-mail:
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: 1 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. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. 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.
Acce lance of per it is verification that I Oill notify the owner of the property of the requirements of Florida Lien Law, FS 713.
51144, 7
Signature 6f Owner Agent Date Signature of Contractor/Agent Date
PriWdernt'me
Signature of Notary -S ate of Florida Date
Owner/Agent is_ P nally Known to Me or
Produced ID V eb,,D- J(
APPROVALS: ZONING:
Special Conditions:
Rev 07.07
UTIL: FD:
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is _ Personally Known to Me or
Produced ID
ENG:
BLDG: -
$L/3
OWNER BUILDER STATEMENT/AFFIDAVIT
Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford,
Seminole County, Winter Springs
Florida Statutes are quoted here in part for your information to indicate the authority for exemptions for homeowners
from qualifying as contractors and to express any applicable restrictions and responsibilities.
OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DIVISION TO SIGN THIS DOCUMENT
FSS 489.103 Disclosure Statement
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 $75,000. 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 supervision 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.
BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement)
Property Addressi, Gr, S ki A VG
'I'A 14 /=&&Z 0 %Fa -5: H/+L/ I , do hereby state that I am qualified and capable of
performing the requested construction involved with the permit application filed.
Form of Id
R6L,
(Must be Photo ID)
q�f7 to -7
MY COMMISSION # L)D629096
,oaz' EXPIRES: February 25, 2011
-NOTARY FI. 10,
_,Assoc. Co
A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment not
exceeding 1 year and a $1,000.00 fine in addition to any civil penalties. In addition, the local permitting
jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy for unlicensed
activity against the owner and any person performing work that requires licensure under the permit issued.
(Rev. 4/20/07)
1 UNDERSTAND AND AGREE TO THE EXEMPTION PROVISIONS OF FLORIDA STATUTES 489.103
AS LISTED ABOVE.
1 HAVE ACCESS TO THE ADOPTED CODES.
14 A
I AM FAMILIAR WITH THE CODE PROVISIONS.
I HAVE ADEQUATE KNOWLEDGE AND QUALIFICATIONS TO SAFELY PERFORM AND DIRECTLY
(
SUPERVISE THE WORK.
THIS PROPERTY IS NOT AN APARTMENT, CONDOMINIUM OR RENTAL PROPERTY.
THIS STRUCTURE IS NOT BEING BUILT WITH MY INTENTION TO SELL, RENT, OR LEASE.
I UNDERSTAND THAT THERE IS NOT STATED A TIME FRAME TO SELL, RENT OR LEASE AN
�-I
OWNER BUILDER STRUCTURE WITHOUT BEING INVESTIGATED.
1 UNDERSTAND THAT FOR ANY UN -LICENSED PERSON 1 HIRE, I MUST DEDUCT F.I.C.A.,
WITHHOLDING TAX, AND PROVIDE WORKERS' COMPENSATION INSURANCE.
Property Addressi, Gr, S ki A VG
'I'A 14 /=&&Z 0 %Fa -5: H/+L/ I , do hereby state that I am qualified and capable of
performing the requested construction involved with the permit application filed.
Form of Id
R6L,
(Must be Photo ID)
q�f7 to -7
MY COMMISSION # L)D629096
,oaz' EXPIRES: February 25, 2011
-NOTARY FI. 10,
_,Assoc. Co
A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment not
exceeding 1 year and a $1,000.00 fine in addition to any civil penalties. In addition, the local permitting
jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy for unlicensed
activity against the owner and any person performing work that requires licensure under the permit issued.
(Rev. 4/20/07)
Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford,
Seminole County, Winter Springs
Florida Statutes are quoted here in part for your information to indicate the authority for exemptions for homeowners
from qualifying as contractors and to express any applicable restrictions and responsibilities.
OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DIVISION TO SIGN THIS DOCUMENT
FSS 489.103 Disclosure Statement
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 $75,000. 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 supervision 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.
BY SIGNING THIS STATEMENT, 1 ATTEST THAT: (Initial to the left of each statement)
Pro- peaty Addressi, - 4 VE
L �-,� F,/►j/ZS/\ kJ rrF�(C ul+ it _r do hereby state that I am qualified and capable of
performing thie requested construction involved with the permit application filed.
Ir -
1 �f 7 Co "7
"UJD JIL°IiC,ANT'()N
L MY COMMISSION # L)D629096
Form of Identification EXPIRES: Feb-ry25, 201,
(Must be Photo ID) I-SCY/-3-NOTARY Fl. Notary t Ass� Co
A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment not
exceeding 1 year and a $1,000.00 fine in addition to any civil penalties. In addition, the local permitting
jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy for unlicensed
activity against the owner and any person performing work that requires licensure under the permit issued.
(Rev. 4/20/07)
I UNDERSTAND AND AGREE TO THE EXEMPTION PROVISIONS OF FLORIDA STATUTES 489.103
«
AS LISTED ABOVE.
I HAVE ACCESS TO THE ADOPTED CODES. _
141)
I AM FAMILIAR WITH THE CODE PROVISIONS.
I HAVE ADEQUATE KNOWLEDGE AND QUALIFICATIONS TO SAFELY PERFORM AND DIRECTLY
l(
SUPERVISE THE WORK.
THIS PROPERTY IS NOT AN APARTMENT, CONDOMINIUM OR RENTAL PROPERTY.
THIS STRUCTURE IS NOT BEING BUILT WITH MY INTENTION TO SELL, RENT, OR LEASE.
I UNDERSTAND THAT THERE IS NOT STATED A TIME FRAME TO SELL, RENT OR LEASE AN
�-�
OWNER BUILDER STRUCTURE WITHOUT BEING INVESTIGATED.
1 UNDERSTAND THAT FOR ANY UN -LICENSED PERSON I HIRE, I MUST DEDUCT F.I.C.A.,
d'
WITHHOLDING TAX, AND PROVIDE WORKERS' COMPENSATION INSURANCE.
Pro- peaty Addressi, - 4 VE
L �-,� F,/►j/ZS/\ kJ rrF�(C ul+ it _r do hereby state that I am qualified and capable of
performing thie requested construction involved with the permit application filed.
Ir -
1 �f 7 Co "7
"UJD JIL°IiC,ANT'()N
L MY COMMISSION # L)D629096
Form of Identification EXPIRES: Feb-ry25, 201,
(Must be Photo ID) I-SCY/-3-NOTARY Fl. Notary t Ass� Co
A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment not
exceeding 1 year and a $1,000.00 fine in addition to any civil penalties. In addition, the local permitting
jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy for unlicensed
activity against the owner and any person performing work that requires licensure under the permit issued.
(Rev. 4/20/07)
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 2
... /re_web. seminole_county_title?parcel=2519305AG 15050080&cpad=myrtle6/ 17/2007
TH ST
.a,
DAVID JOHNSON, CFA, ASA
PROPERTY
1519.a 1505
a 9
APPRAISER
5EMINOLE COUNTY FL.
r
1101E. FIRST sT
SAHFORD, FL 32771-1468
407-665-7508
2007 WORKING VALUE SUMMARY
Value Method: Market
GENERAL
Number of Buildings: 1
Parcel Id: 25-19-30-5AG-1505-0080
Depreciated Bldg Value: $56,020
Owner: DIECKHAUS HENRY B JR
Depreciated EXFT Value: $0
Mailing Address: 615 S PALMETTO AVE
Land Value (Market): $29,440
City,State,ZipCode: SANFORD FL 32771
Land Value Ag: $0
Property Address: 1305 MYRTLE AVE SANFORD 32771
Just/Market Value: $85,460
Subdivision Name: SANFORD TOWN OF
Assessed Value (SOH): $85,460
Tax District: S1-SANFORD
Exempt Value: $0
Exemptions:
Taxable Value: $85,460
Dor: 0102 -SINGLE FAMILY- SANF
Tax Estimator
Tax Reform Analysis
2007 Notice of Proposed Property Tax
SALES
Deed Date Book Page Amount Vac/Imp Qualified
WARRANTY DEED 05/2004 05448 0110 $61,100 Improved Yes
SPECIAL 04/1996 03067 1775 $12,000 Improved No
2006 VALUE SUMMARY
WARRANTY DEED
CERTIFICATE OF
2006 Tax Bill Amount: $1,626
TITLE 01/1996 03022 1488 $100 Improved No
2006 Taxable Value: $82,587
QUIT CLAIM DEED 03/1987 01832 1758 $100 Improved No
DOES NOT INCLUDE NON -AD VALOREM
QUIT CLAIM DEED 10/1986 01784 0880 $100 Improved No
ASSESSMENTS
QUIT CLAIM DEED 02/1983 01436 1854 $100 Improved No
WARRANTY DEED 01/1974 01027 0768 $100 Improved No
Find Comparable Sales within this Subdivision
LAND
LEGAL DESCRIPTION
Land Assess Method Frontage Depth Land Unit Land
Units Price Value
PLATS: Pick... 7-
FRONT FOOT & 64 117 000 46000 $29440
LEG LOT 8 BLK 15 TR 5 TOWN OF
..,
DEPTH
SANFORD PB 1 PG 60
BUILDING INFORMATION
Bid Num Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost New
1 SINGLE
1943 3 912 1,458 1,242 BLOCK $56,020 $106,704
FAMILY
Appendage / Sgft ENCLOSED PORCH FINISHED / 330
Appendage / Sgft UTILITY UNFINISHED / 216
NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed
Porch Finished,Base Semi Finshed
Permits
... /re_web. seminole_county_title?parcel=2519305AG 15050080&cpad=myrtle6/ 17/2007