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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