HomeMy WebLinkAbout126 N Bristol CirAN 18101?
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
No: /J " 7 Documented Construction Value: S
it -
Application d`& -b
Job Address: /2 (oo tJ . i8 (Z/ 6T6 J, Of &L L Historic District: Yes ❑ No
Parcel ID: Zoning:
Description of Work: � ��c.¢. p-�.rr 1_J polo f, OdR -+^- S
Plan Review Contact Person:
Phone: 146 7 - 3 30 -- 9YG 3 Fax: E-mail:
Title:
Property Owner Information
Name 1 i i a, e % JC Phone: `fid 7- 3,,3o _9�6 3
Street: 0 • &45TrV A, CI Cc L t:,' Resident of property? : Yes
City, State Zip: SAA) F6 IC 3' 4 • 3A -773
Contractor Information
Name Phon
Street: Fax:
City, State Zip: State
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: / Mortgage Lender:
Address: _ _ AdArgssy
./'
Building Permit A
PERMIT
NFOkMATION'''" {
Square Footage: /4'3cl Construction Type: 1316ck,No. of Stories: %
No. of Dwelling Units: Flood Zone:
Electrical O
New Service — No. of AMPS:
Mechanical O (Duct layout required for new systems)
Plumbing O
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm O No. of heads:
tt�
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.
Signature o ner/Agent� " 1/1 71Jz,
Date Signature of Contractor/Agent Date
I. ktc,ok
Print Owner/Agent's Name Print Contractor/Agent's Name
of
Notary PuElk . State of Florida
My Comm. Expires May 10. 2015
Commission # EE 92779
Bonded Through National Notary Assn.
of Notary -State of Florida Date
Owner/Agent i Personally�QContractor/Agent is Personally Known to Me or
� MT
A42 ID Type of ID 42 " Produced ID Type of ID
APPROVALS: ZONING: TILLITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Rev 11.08
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
�j
the property listed, may act as my own contractor with certain restrictions even though I do not have a
�o
license.
`f
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
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
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: l 6 g t 517� C l kc -LC
I, do hereby state that I am qualified
and capable o erforming requested construction involved with the permit application filed and agree to the
conditions specified above.
Signature ofOwner-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 shaU 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
,p
Services, and the Florida Department of Revenue. I also understand that I may contact the Florida
CC
Construction Industry Licensing Board at 1-850487-1395 or at www.myflorida.com/dbpr/yro/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: l 6 g t 517� C l kc -LC
I, do hereby state that I am qualified
and capable o erforming requested construction involved with the permit application filed and agree to the
conditions specified above.
Signature ofOwner-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 shaU 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: 07-20-31-506-0000-0570
4Ocrvlcl Johnwa+. CFn Parcel: 07-20-31-506-0000-0570
PROPERTY Owner: LUCK ELIZABETH 3 B
APPRAISER Property Address: 126 BRISTOL CIR SANFORD, FL 32773
SEM94OW COUPffY. FLOFt1O^
< Back < Previous Parcel Next Parcel > Save Layout Reset Layout New Search
Parcel: 07.20.31.506.0000.OS70 I Value Summary
Property Address: 126 BRISTOL CIR
Owner. LUCK ELIZABETH J B
Mailing: 126 N BRISTOL CIR
SANFORD, FL 32773 - 7345
Subdivision Name: BRYNHAVEN 1ST REPLAT
Tax District: S)-SANFORD
Exemptions: 00 -HOMESTEAD (1994)
DOR Use Code: O1 -SINGLE FAMILY
Map Aerial Both Footprint + - Extents Center
Larger Map Dual Map View - External
Tax Amount without SOH:
2012 Working
2011 Certified
5839
Values
Values
Valuation
Cost/Market
Cost/Market
Method
Tax Details
Number of
Buildings
1
1
Depreciated
$64,456
$67,937
Bldg Value
Depreciated
Assessment Value
$78,956
578,956
578,956
578,956
178.956
Exempt Values
$50.000
525.000
550.000
550.000
SSO,000
EXFT Value
Land Value
514,500
514,500
(Market)
Sales
Land Value Ag
Just/Market
578.956
182,437
alp =
Portability Adj
Save Our Homes
50
50
Adj
Find Comparable Sales within
Amendment 1
Adj
Land
Assessed Value
578.956
582.437
Tax Amount without SOH:
5839
2011 Tax Bill Amount
5839
Tax Estimator
Save Our Homes Savings:
SO
Does NOT INCLUDE Non Ad Valorem
Assessments
Legal Description
LEG LOT S7 BRYNHAVEN 1ST REPLAT PB 39 PGS 20 b 21
Tax Details
Taxing Authority
County General Fund
Schools
City Sanford
SJWM(Saint Johns Water Management)
County Bonds
Assessment Value
$78,956
578,956
578,956
578,956
178.956
Exempt Values
$50.000
525.000
550.000
550.000
SSO,000
Taxable Value
528.956
553.956
$28,956
528.956
528.956
Sales
Deed
WARRANTY DEED
Date Book Page
08/1989 02096 1082$74,200
Amount Vac/Imp
Improved
Qualified
Yes
Find Comparable Sales within
this Subdivision
Land
Method
LOT
Frontage Depth
0 0
Units
1.000
Unit Price
14,500.00
Land Value
514,500
Building Information
M Description Year Fixtures Base Total SF Heated
Built Area SF
1 SINGLE 1989 6 1,239.00 1.967.00 1,439.00
FAMILY
Ext Wall Adj
Value Valuealoe
CB/STUCCO 564,456 570,831
FINISH
BASE SEMI FINISHED
Appendages
T 200
Page 1 of 2
http://www.scpafl-org/ParcelDetails.aspx?PID=07-20-31-506-0000-0570 1/17/2012
Permit No. 12.-' l 0
Tax Folio No. 03- ZX)- 31- x"06-6 o oo,- o S -2,D
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.
igRlME NWAEj Ci,E10( OF CIRCUIT MURT
SEMINM.E CMXTY
BK 07699 Pg 1607; Upg)
CLERK* S tt 2012,W7002
FEt OMM 01/19/2012 036037 DII
EEG INS FEES 101.00
RECm MEE BY J &kowa'th(all)
4011P Desc n' i n ofpropgrt : (legal description of the�r`eerty, and street address if available)
lLJ �5� s c tem
42'. General description of improvement:''
143: Owner information: Name: OU 2,4-3
Address: ) 2 6 N r< I S TG I- :I,/ mac. (. L
37.7 7.3
%b! Interest in property: G,4 E: 6 r v N
c. Name and address of fee simple titleholder (if other than Owner): Name:
Address:
4. Contractor Name:
Phone number:
-CERTIFIED
c. Address:
COPY
5. Surety Name
MARYANNE MORSE
Address:
CLERK OF CIRCUIT COURT
b. Amount of bond: S
SEMINOLE COUNTY, FLORID
6. Lender: Name: _
Address:
p
n 2LERK
b. Lender's phone number:
M
A N I V ?-
Ta.
7.a. Persons within the State of Florida designated by Owner upon whom notices
or other documents may be served as
provided by Section 713.13(1)(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 713.130)(b), Florida Statutes.
b. Phone number of person or entity designated by owner:
9. Expiration date of notice of commencement (the expiration date is I 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 I,
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
CO.01 NC M.
ignature of Owner or Owes Authorized Officer/Director/Partner/Manager Signatory's Title/Office
The foregoing instrument was acknowledged before me this day of , (year) , by (name of person) as (type of
authority.... e.g. officer, trustee, attorney in fact) for (name of party on behalf of whom instrument was executed) .
(SEAL)
Signature of Notary Public / \ 1p . 10,
Personally Known OR Produced Identification V Type of Identification Produced 't u L e
Verification pursuant to Section 92.525, Florida Statutes: Under penalties of perjury, I declare that I have read the foregoing and that
the facts itated in it are truto th est of my knowledge and belief. - �- - - --
;.... , DEBBIE BLANION
' Notary Public - State of Florida
Signature o Natural Pers Signing Above
NAME'^ c.dl� My Comm. Expires Feb 25. 2015
Rev. date 3/2008 , ��•,n��a,•t�c Commission * EE 60162
,lDDR, fsiso N• u3e�sro �
Bonded Through National Notary Assn.