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Home My WebLink About121 Sterling Pine St�., 7MAR C]F]�VEE 7 2012 CITY OF SANFORD BUILDING & FIRE PREVENTION - PERMIT APPLICATION* Gv (�LW L Application No: -' V 1 Documented Construction Value: $ T v3O r1vf_ Job Address: SfeLI LLS its t? rJ�SW-h F2 -'W23 Historic District: Yes ❑ No ❑ Parcel ID: Zoning: Description of Work: — C 1':1 Ce Plan Review Contact Person: Title: Phone: Fax: E-mail: Property Owner Information Namey Q su`e ItPhone: v Street: 1 , • e r Resident of property? City, State Zip: �Ci•2 aPCA, P- Contractor Information Name Phone: Street: Fax: City, State Zip: State License No.: Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Mortgage Lender: Address: Address: t � 41 PERMIT INFORMATION � •" ' • ,• • - . � Building Permit O • • ...-:. -.- - • � • . Square Footage: No. of Dwelling Units: Electrical O New Service - No. of AMPS: Construction Type: No. of Stories: Flood Zone: Mechanical 13 (Duct Layout required for new systems) Plumbing O New Construction - No. of Fixtures: Fire Sprinkler/Alarm D No. of heads: 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, beaters, 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. 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. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. �-- --= &.1 Signator ' Owner/Agent Date Print Owner/Agent's Name of taryttli,�I,Florida DEBBIE BLANTOtDate :°. ; c's Notary Public -State of Florida • My Comm. Expires Feb 25. 2015 "� ' Commission M EE 60182 �'F•° �: Bonded Through National Notary Assn. Owner/Agent is Produced ID APPROVALS: COMMENTS: Rev 11.08 Personally Ppwn to Me or _ Type of 1D ZONING: • I Z UTILITIES: ENGINEERING: FIRE: Signature of Contractor/Agent Date Print Contractor/Agent's Name Signature of Notary -State of Florida Date Contractor/Agent is Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: I 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 BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement) Rev. 9.14.2009 I understand that state law requires construction to be done by a licensed contractor and have applied for an owner -builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a license. I understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. I understand that, as an owner -builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that a contractor is required by law to be licensed in Florida and to list his or her license numbers on all permit and contracts. I understand that I may build or improve a one -family or two-family residence or a farm outbuilding. I may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my own use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within in 1 year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease, which violates this exemption. I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. I understand that I may not hire an unlicensed individual person to act as my contractor or to supervise z persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the licenses required by law and by city ordinance. I understand that it is a frequent practice of unlicensed persons to have the property owner obtain an owner -builder permit that erroneously implies that the property owner is providing his or her own labor /. and materials. I, as an owner -builder, may be held liable and subjected to serious financial risk for any (� injuries sustained by an unlicensed person or his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner - builder and am aware of the limits of my insurance coverage for injuries to workers on my property. I understand that I 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 my building who Is not licensed / must work under my direct supervision and must be employed by me, which means that I must V comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers' compensation for the employee. I understand that my failure to follow these laws may subject me to serious financial risk. Rev. 9.14.2009 Property Address 154ed; klc�, 01).e_ S_+ f -G clqf lit �q Ito , do hereby state that 1 am qualified and capable of performing the requested construction involved with the permit application filed and agree to the conditions specified above. of Owner -Builder Form of Identification (Must be Photo ID) Date � - /;:� 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. 9.14.2009 I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern owner -builders as well as employers. I also understand that the construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. I am of aware of construction practices and I have access to the Florida Building Codes. I understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, the Florida Department of Financial Services, and the Florida Department of Revenue. I also understand that I may contact the Florida Construction Industry Licensing Board at 1-850487-1395 or at www.myflorida.com/dbpr/uro/cilb/ for more information about licensed contractors. I am aware of, and consent to, an owner -builder building permit applied for in my name and understand that I am the party legally and financially responsible for the proposed construction activity at the address listed below. I agree to notify the building department immediately of any additions, deletions, or changes to any of the information that I have provided on this disclosure or in the permit application package. Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Construction Industry Licensing Board, the Department of Business and Professional Regulation and the building department may be unable to assist you with any financial loss that you sustain as a result of a complaint. Your only remedy against an unlicensed contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is property licensed and the status of the contractor's workers' compensation coverage. Property Address 154ed; klc�, 01).e_ S_+ f -G clqf lit �q Ito , do hereby state that 1 am qualified and capable of performing the requested construction involved with the permit application filed and agree to the conditions specified above. of Owner -Builder Form of Identification (Must be Photo ID) Date � - /;:� 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. 9.14.2009 SCPA Parcel View: 10-20-30-511-0000-0520 Page 1 of 2 C>'civld Johr+aon. Cl io Parcel: 10-20-30-511-0000-0520 S0� Owner: CARABALLO JOSUE � PIM,S� [MIF10lE OOtJN'TY. FIAWDA Property Address: 121 STERLING PINE ST SANFORD, FL 32773 < Back1 < Previous Parcel I Next Parcel > Save Layout I Reset Layout I I New Search Parcel: 10-20-30-511-0000-0520 I Value Summary Property Address: 121 STERLING PINE ST Owner: CARABALLO JOSUE Mailing: 121 STERLING PINE ST SANFORD. FL 32773 Subdivision Name: STERLING WOODS Tax District: S1-SANFORD Exemptions: 00 -HOMESTEAD (2001) DOR Use Code: 01 -SINGLE FAMILY Map Aerial Both Footprint + Extents Center Larger Map I I Dual Map View - External Tax Amount without SOH: S 1,418 2011 Tax Bill Amount 51,418 Tax Estimator Save Our Homes Savings: SO Does NOT INCLUDE Non Ad Valorem Assessments Legal Description 2012 Working 2011 Certified Values Values Valuation Cost/Market Cost/Markel Method Number of 1 1 Buildings Taxing Authority Depreciated S92,116 591,479 Bldg Value $104,116 550,000 Depreciated Schools EXFT Value $25,000 579,116 Land Value $12,000 S20,000 (Market) 554,1 16 Land Value Ag S104,116 $50,000 Just/Market S104,116 S111,479 V •• SS0,0001 554,116 Portability Adj Save Our Homes SO SO Adj Amendment 1 Adj Deed Date Book Page Assessed Valuel S104,116 S111,479 Tax Amount without SOH: S 1,418 2011 Tax Bill Amount 51,418 Tax Estimator Save Our Homes Savings: SO Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 52 STERLING WOODS PB 54 PGS 93 THRU 95 Tax Details Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $104,116 550,000 554,116 Schools $104,116 $25,000 579,116 City Sanford S1104,116 S 50,000 554,1 16 SJWM(Saint Johns Water Management) S104,116 $50,000 554,116 County Bonds S1104,11161 SS0,0001 554,116 Sales Deed Date Book Page Amount Vac/Imp Qualified SPECIAL WARRANTY DEED 09/2000 03921 0168 S118,200 Improved Yes WARRANTY DEED 08/2000 03902 0639 5299,800 Vacant No Find Comparable Sales within this Subdivision http://www.scpafl.org/ParcelDetails.aspx?PID=10-20-30-511-0000-0520 3/7/2012 Locate # Located by / / Locates Good for 30 Days cHl< )�;kc( / 3 ` a {' CENTRAL FLORIDA FENCE 330 Dog Track Road o Longwood, FL 32750 407-331-0765 Fax 407-331-0772 SOLD TO U 9 RAI ADDRESS /,;7, J CITY, STATE, ZIP ll� WOOD STYLE PICKETS BACK RAIL BOARD ❑ Cypress ❑ Stockade ❑ 1/2 ❑ 2x3 ❑ 4" ❑ P.T. ❑ Board on Board ❑ 3/4 ❑ 2x4 ❑ 6" ❑ Shadow Box ❑ ❑ ❑ CHAIN LINK EMAIL DATE _>4 County Subdivision _ Cross Street Job Site HOME PHONE OFFICE CELL PHONE V 0 7- 6,1 `7 - C; Q FAX PHONE TOP HEIGHT ❑ Dog Ear ❑ 4 [:]Pointed ❑ 6 ❑ Lattice ❑ 8 HEIGHT GAUGE COATED LINE POST TERMINALS ❑ 4 ❑ 11 1/2 []Galvanized ❑ 15/8" ❑ 2 1/2- 5 ❑9 ❑Vinyl 02" ❑3" D6 D6 D D D G pwm-T Vic-, 'a ❑ Bell South ❑ Century Link ❑ Advantage Ph Pone ❑ Referral ❑ Past Customer ❑ Internet Estimate Good For Days • �il�>rARAI�Bt�i�il�l�l�llllll•�lwll�llflilltlll�l#l��l�llllf ��lr��l��l►a��l��llr�l�r�l��r,��r,�c>Mi�l�►;al�;��a�r�r.� ��i>��lg�l[�■■■lel•I•■r■Irl•l��l�■■�#Ilrll��l� �ill�l�lltl�r�l�ll '► �I�n .► Plot Plan: 11111111 -FX Permits: __,son , Elect: s i Cable TV: loin ON .8 an Too Follow Grid 'Rack 11 Step E] 1 111111116 P 'Mann R 1110 IS GoodSide ■ • ■ ON now M�' �IA��ia�I�M� M ■ " • - 111101111011 I�I �I � �I♦I�I�l1��11„��Emmmm Ilei♦l�lllsl��I��I�i��I�I11�IM��IIM,II��I♦I�� lll� iiliil• i• l� � Ill � � 111 � l� l� l� I♦ � IN l� � l♦ l� IlN l� l� l� llf l� I� � l♦ ��ll �wl�M��fiN�1ANAlAM�i•I�I�IrNI�I��r�IMI�INM� ■ ■ ■ • . - NOT Responsible for damage to Sprinkler Lines or Invisible Fence Lines. 1 1/2%Per Month Finance Chi CONDITIONS ON REVERSE .$////•Z Over 20 Days. Permit No. Tax Folio No. / t) -a 6 -.3 D -.S"11--6600- L S-o�b NOTICE OF COMMENCEMENT State of Florida County of Seminole The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. —I- Description of 11 property, Nd ,street address if MARYI MUWLI O.EaK IA L'i1iWIT I:tilflaT 99MIN19.E CA9J N 9K 017V Pg VJW1 UPg) CLERK'S 0 20 t202:7644 RECM900 03/07/9012 04191119 PI REGIIWIN9 FFk9 10.00 RE010:U 9Y T Van Nuys 00 �� •�: G al description of improvement: � �r�`e C .P -'j} er information: Name: -So.su e- tri 4 W. Interest Ss: '� es r n, r Interest in property: wow e - c. Name and address of fee simple titleholder (if other than Owner): Name: Address: 4. Contractor Name: Phone number: RTIFIFn rne> c. Address:� 5. Surety Name Address: CLERK OF CIRCUIT C=T. b. Amount of bond: $ nSENIE COUN ORIDA 6. Lender: Name: Address: b. Lender's phone number: Ta. Persons within the State of Florida designated by Owner upon whom notices or other documents ma et fas2012 provided by Section 713.13(l)(a)7., Florida Statutes: Name: Address: 8.a. In addition to himself or herself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(l)(b), Florida Statutes. b. Phone number of person or entity designated by owner: 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF Sign 7 e o wner or Owner's Authorized Officer/Director/Partner/Manager Signatory's Title/Office Th oregoing instrument was acknowledged before me this day of (year) , by (name of person) as (type of au y, ... e.g. officer, trustee, attorney in fact) for (name of party on behalf of whom instrument was executed) . k" 4n� (SEAL) Signature of Notary Public Personally Known OR Produced Identification _ Type of Identification Produced Verification pursuant to Section 92.525, Florida Statutes: Under penalties of perjury, I declare that I have read the foregoing and that the fact stated in it ar true to the best of my knowledge and belief. """"• DEBBIE BLANTON ,•` pr a s Notary Public • State of Florida igna re of Natura Person Signing Above : • _ My Comm. Expires Feb 25, 2015 Rev. date 3/2008 Commission # EE 60182 �'FO gid' Bonded Through National Notary Assn. 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