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Home My WebLink About1214 Randolph St (2)FEB 2 3 Niz r� L CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Document d Construction Value: $ Job Address: /,?Iq C .awn sHistoric District: Yes ❑ No Parcel ID: Zoning: Description of Work: e 6 rV f n 1401 Gl D Plan Review Contact Person: Title: Phone: Fax: E-mail: `' I - Property Owner Information / Name '�1 t Phone: 5A0 - &(/ _D — S(lQ Street: Resident of property? : NO City, State Zip: D l O Vl (� r\/Contracttor Information r' Name - umo I � (SG r� ) 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: Building Permit ❑ Square Footage: No. of Dwelling Units: Electrical ❑ PERMIT INFORMATION Construction Type: Flood Zone: New Service — No. of AMPS: Mechanical ❑ (Duct layout required for new systems) No. of Stories: Plumbing ❑ New Construction - No. of Fixtures: _ Fire Sprinkler/Alarm ❑ 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 1 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. Signature of Owner/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID 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 APPROVALS: ZONING.. PA UTILITIES: WASTE WATER: ENGINEERING: COMMENTS: Rev 11.08 FIRE: BUILDING: SCPA Parcel View: 31-19-31-504-0100-0100 4r�nvtcr •lohrsop►. C FA Parcel: 31-19-31-504-0100-0100 �urkm y Owner: DIXON CYNTHIA APPRAISER, rwraOt.Q OOur�r1Y. r-l+0at0r► Property Address: 1214 RANDOLPH ST SANFORD, FL 32771 S[ < Back1 < Previous Parcel Next Parcel > I F Save Layout Reset Layout New Search Parcel: 31.19.31.504.0100.0100 1 Value Summary Property Address: 1214 RANDOLPH ST Owner: DIXON CYNTHIA Mailing: 1271 DANDELION DR DELTONA, FL 32725 Subdivision Name: BEL -AIR SANFORD Tax District: Sl-SANFORD Exemptions: DOR Use Code: 0) -SINGLE FAMILY 9 12 P57 j� 9 1,21n1 10 11rBri 31 4 In a EM 0- 18 06 Legal Description 2012 Working 2011 Certified Values Values Valuation Cost/Market Cost/Market Method Number of 1 I Buildings Save Our Homes Savings, SO Depreciated $10,456 $11,183 Bldg Value Larger Map Dual Map View - External Depreciated 5576 5576 EXFT Value SO 526,636 Land Value $15.604 $15,604 (Market) s0 Land Value Ag lust/Market Value = 526,636 S27,363 Portability Adj 126.636 Save Our Homes SO SO Adj 10 526,636 Amendment 1 SO SO Adj SO Assessed Value S26,6361 $27,363 Legal Description RANDOLPH ST Tax Amount without SOH: 5545 9&:T-1 �] Tax Details 2011 Tax Bill Amount 5545 O / Tax Estimator Save Our Homes Savings, SO Map Aerial Both Footprint + Extents Center Assessment Value •Does NOT INCLUDE Non Ad Valorem Larger Map Dual Map View - External Assessments Legal Description LEG E 13 FT OF LOT 10 + ALL LOT 1 1 + W 8 FT OF LOT 12 BLK 1 BEL -AIR PB 3 PG 79 b 79A Tax Details Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 526,636 SO 526,636 Schools $26.636 s0 S26,636 City Sanford 126.636 s0 126.636 SJWM(Saint Johns Water Management) 126,636 10 526,636 County Bonds 526,636 SO 526,636 Sales Deed Date Book Page Amount Vac/Imp Qualified TAX DEED 12/2010 07489 1= 516,300 Improved No SPECIAL WARRANTY DEED 09/2003 05021 5100 Improved No WARRANTY DEED 06/2003 04886 QQQj 1133.000 Improved No SPECIAL WARRANTY DEED 03/2003 04754 0042 559,800 Improved No CERTIFICATE OF TITLE 06/2002 04437 0174 $100 Improved No SPECIAL WARRANTY DEED 06/2002 04602 Qjj}g 5100 Improved No SPECIAL WARRANTY DEED 04/1998 03412 1579 S64,500 Improved No CERTIFICATE OF TITLE 04/1997 03723 0581 5100 Improved No QUIT CLAIM DEED 02/1996 03070 1740 S32,300 Improved No SPECIAL WARRANTY DEED 09/1995 02967 0348 126,500 Improved No WARRANTY DEED 09/1995 02967 0349 531,800 Improved No CERTIFICATE OF TITLE 06/1995 02930 Qjg} S 100 Improved No WARRANTY DEED 09/1988 01995 Q}¢j S39,200 Improved Yes WARRANTY DEED 07/1978 01177 523,000 Improved Yes WARRANTY DEED 01/1972 00937 0135 S)0,000 Improved Yes Page 1 of 2 http://www.scpafl.org/ParcelDetails.aspx?PID=31-19-31-504-0100-0100 2/21/2012 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: d d l vZ I hereby name and appoint: /T L -1 D ny l KCL an agent of (Name of Company) to be my lawful attorney-in-fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): Ili The specific permit and applicatiop for work located at: (Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: State License Number: Signature of License Holder: STATE OF FLO DA COUNTY OF i✓% The foregoing instrument was acknowledged before me this PI/ day of 6. , 20V AI , by C &A"X-oi✓ who is wrpersonally known to me or o who lfas produced identification and who did (dl (Notary Seal) AUANWns OW01 P. My COMMISSION 1 EE 001389 s' EXPIRES: Jenuery 4.2015 BmW nw Notary FV* UtMMetArt (Rev. 3/27/07) o.✓Q not) t an oath. Signa 0 Print or type name ,P/o e-� --Ad ,w -e, as Notary Public - State ofor,'do . Commission No. L%C' My Commission Expires: 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 T) 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 I 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 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. 1, 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 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 D 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: 1, 0&; / , do hereby state that I am qualified and capable of performing the requested construction involved with the permit application filed and agree to the conditions specified above. 4 LC—ez �—, : � � Signature of Owner -Builder Date Form of Identification (Must be Photo ID) 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/pro/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 VDcoverage. Property Address: 1, 0&; / , do hereby state that I am qualified and capable of performing the requested construction involved with the permit application filed and agree to the conditions specified above. 4 LC—ez �—, : � � Signature of Owner -Builder Date Form of Identification (Must be Photo ID) 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 e ne/ oeeve un/ll I1 • 1 • act ns b eetls official. 11Admissible pour les regions intliquiiies. 3 Qualified for area indicated. Canada Cr enerwaterswoen- lp)t1 rnoarl.90.00 NC LM1 .I C / C (/� d W CU.S. / E.U. •. to o energyatarpw � = QualAled/Admisslble � FRC MFG CODE: SIL NFRC CPDp 5IL—N-11 21118 SINGLE HUNG Vinyl Dual Hallam Fenesudorl Glazed LoE3 petlnp C1bmcoe ORTITMIRIM, 'I ENERGY PERFORMANCE RATINGS U—Factor Solar Heat Gain Coefficient 0.34 1.93 0.26 (U.S./I•P) (Metric/SI) ADDITIONAL PERFORMANCE RATINGS Visible Transmittance 0.52 Manufacturer stipulates that these ratings conform to appleable NFRC procedures for detemunng whole product performance NFRC ratings are determined for a fixed set of ert lronmentat conditions and a speck product size NFRC does not recommend any product and does not warrant the suitability of any product for any specie use Consul manufacturer's literature for olher product performance Information w►wrf cag 110 Falls WINDOW ANDOOOR M+MUF4'TUPERS ASSOCIATION www Wcme corn 440—H-010.00 Silver Line Windows 2110 SERIES Manufacturer Stimulates Conformance to the followina standards STANDIARE) RAT ING AAMA/WDMA/CSA 101/I.S.2/A440-05 H—R30 52 x 73 in DP +30/-30 Psf FL 12068 4 TDI—WIN-320 Gla•!ng 3 0 ms Double Sir AN Outer/ 7 0 nm Deubl• Sir AN Inner co" " oo ulth NUD uM Bulletin 111 R0/R0 ATL D.7mcce/lis"ReD. 11 199236643.1.24 LABEL 2010 Moots or exceeds MEC, CEC t IECC Air Infiltration Requirements NOMR MallserM Certification Proores