HomeMy WebLinkAbout132 Monterey Oaks Dr (2)I ► .RECE� V.t_.• _
FEB 2 9 2012
BY: CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: (0 %
PP • � I ��y Documented Construction Value: $ ) 3
Job Address: 137- MvVrp y E q Historic District: Yes ❑ No
Parcel ID:
Description of Work: tY)avl
(,P—
Zoning:
Plan Review Contact Person: Title:
Phone: Fax:
E-mail:
Property Owner Information
Name 140(A I C& P U
Street: 13 Z M'n - PDI kS
City, State Zip: Sd1h�a� L 32771
Phone: J41 "1 6t 0 33f
Resident of property? :
Contractor Information p��c-,,
Name �� 'vk Phone: '90- 333 - fL`.' V X eD
Street: � L 1 (Ake A•(` l i v t� Fax • ai 333- /)1")
01
City, State Zip: J_O- P.? yy State License No.:
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Building Permit ❑
Square Footage:
No. of Dwelling Units:
Electrical ❑
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type:
No. of Stories:
Flood Zone: A/ 1)
New Service — No. of AMPS:
Mechanical ❑ (Duct layout required for new systems)
Plumbing ❑
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm ❑ No. of heads:
A')
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: 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.
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 equired 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.
*l Uva 2-2q-1-2:
Signature of Owner/Agent Date Signature of Contractor/Agent Date
ppb , PI R t)
Print w r/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally
Produced ID Type of EV
APPROVALS:
z 2'0
COMMENTS:
Rev 11.08
FIRE:
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: Z
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 1, 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.
A
�1
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
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: 132
oy ou-s e ;pt - sa4,� td . -�z 32-n J
1, , 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.
rI
Signature of Owner -Builder
Form of Identification �Z
(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 ,
�V)
understand that the construction must comply with all applicable laws, ordinances, building codes, and
zoning regulations.
h
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 1-850-487-1395 or at www.mvflorida.com/dbpr/nro/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.
�J�
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: 132
oy ou-s e ;pt - sa4,� td . -�z 32-n J
1, , 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.
rI
Signature of Owner -Builder
Form of Identification �Z
(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
{
-"SPECIAL SERVICES CUSTOMER INVOICE
AAStore 0264 LAKE MARY Phone: (407) 333-9650
4600 W LAKE MARY BLVD Salesperson: JHH074
LAKE MARY, FL 32746 Reviewer:
This is only a QUOTE for the merchandise and services printed below. This becomes an
Agreement upon payment and an endorsement by a Home Depot register validation.
arm
Home Phone
R'UA MAM (407) 416-0350
�s 132 &SONT'l�Y OAKS DR "'°`'` R"1e (407) 416-0350
CR' SANFORD JDDeSCnpton PATIO DOOR INSTALL
S'9 FL Zip 32771-7772 °oiny SEMINOLE
Page 1 of 10 No. 0264-333271
VALIDATION AREA 1?
SALE 32 AA194F 01:48 PM
CUSTOMER AGREEMENT T 333271
RECALL AMOUNT 1216.13
ADDL MDSE SUBTOTAL 118.1710
SUBTOTAL 1?334.13
SALES TAX 7.08
TOTAL $l1341.21
XXXXXXXXXXXX2787 HOME DEPOT 1P341.21
AUTH CODE (128228/1191291 TA
QUOTE is valid for this date: 02!28/2012
INSTALLER DELIVERY #1 MERCHANDISE AND SERVICE SUMMARY sod oscusomershtolimitthequa�,andise
oO T-W>_
O
Check your current order status online at
www.homedepot.com/orderstatus
Page 1 of 10 No. 0264-333271
Customer Copy
(9801) 0100338901
REF # 101
STOCK MERCHANDISE TO BE DELIVERED:
o
REF #
SKU
QTY
UM DESCRIPTIONICE
EACH
EXTENSION
R02
789-123
1.00
EA E/O 72X80 RH OS TILT & RAISE LOW -E
$599.00
$599.00
R03
137-861
1.00
EA 3/4X5-1/2X8FT PVC BOARD REVERSIBLE
N
$19.34
$19.34
R04
155-400
1.00
EA 1X6-8 PT APPEAR WEATHERSHIELD
N
$4.97
$4.97
R05
814-765
21.00
LF S4S WG1220 PINE 7/16X2
N
$1.16
$24.36
R06
522-661
1.00
EA E/O 160Z WINDOW & DOOR GREAT STUFF
N
$5.98
$5.98
R07
797-111
1.00
EA ANGLE ALUMINUM 3/4X1/8X96
N
$18.54
$18.54
R08
590-635
3.00
EA 1X4X8FT PRIMED FJ PINE
N
$4.98
$14.94
DELIVERY INFORMATION: I DELIVERY DATE: INSTALLER WILL gWOKE
INSTALLER WILL DELIVER MDSE TO: SITE OF INSTAL.j&1&2ICr1 AT TIME OF INSTALLATION.
•
687.13
oO T-W>_
O
Check your current order status online at
www.homedepot.com/orderstatus
Page 1 of 10 No. 0264-333271
Customer Copy
(9801) 0100338901
SCPA Parcel View: 33-19-30-517-0000-0170
4Dcd ,�orr.op+. CFA Parcel: 33-19-30-517-0000-0170
�MUP� ■ ■ Owner: RUA MARIA E
��M Property Address: 132 MONTEREY OAKS DR SANFORD, FL 32771
SBJvturOLE liOlJPr1Y. FLOwGA
< BackI < Previous Parcel I I Next Parcel > Save Layout Reset Layout New Search
Parcel: 33.19.30-S17.0000.0170 I Value Summary
Property Address: 132 MONTEREY OAKS DR
Owner. RUA MARIA E
Mailing: 132 MONTEREY OAKS DR
SANFORD, FL 32771 - 7772
Subdivision Name: MONTEREY OAKS PH 1. A REPLAT
Tax District: S)-SANFORD
Exemptions: 00 -HOMESTEAD (2001)
DOR Use Code: 01 -SINGLE FAMILY
t5(
Map Aerial Both Footprint + - Extents Center
Larger Map Dual Map View - External
Tax Amount without SOH: S1,824
2011 Tax Bill Amount 51,648
Tax Estimator
Save Our Homes Savings. S176
Does NOT INCLUDE Non Ad Valorem
Assessments
Legal Description
2012 Working
2011 Certified
Values
Values
Valuation
Cost/Market
Cost/Market
Method
Tax Details
Number of
Buildings
1
1
Depreciated
5103,503
5108,851
Bldg Value
Assessment Value
5126,503
S126,503
5126,503
S126.503
5126,503
Exempt Values
550,000
525.000
550.000
550,000
S50,000
Depreciated
EXFT Value
Land Value
523,000
523,000
(Market)
Land Value Ag
Just/Market
Value =
S126,503
5131,851
Portability Adj
Book Page
07136 1887
05782 0223
03857 1948
03778 1074
Amount
5100
5100
5109,100
5330.000
Save Our Homes
so
58,826
Adj
Amendment 1
Land
Adj
Assessed Valuel
5126503
5123,025
Tax Amount without SOH: S1,824
2011 Tax Bill Amount 51,648
Tax Estimator
Save Our Homes Savings. S176
Does NOT INCLUDE Non Ad Valorem
Assessments
Legal Description
LOT 17 MONTEREY OAKS PH 1, A REPLAT PB 56 PGS 33 b 34
Tax Details
Taxing Authority
County General Fund
Schools
City Sanford
S}WM(Samt Johns Water Management)
County Bonds
Assessment Value
5126,503
S126,503
5126,503
S126.503
5126,503
Exempt Values
550,000
525.000
550.000
550,000
S50,000
Taxable Value
576,503
5101,503
576,503
176.503
576,503
Sales
Deed Date
QUIT CLAIM DEED 02/2009
QUIT CLAIM DEED 05/2005
SPECIAL WARRANTY DEED 05/2000
WARRANTY DEED 11/1999
Book Page
07136 1887
05782 0223
03857 1948
03778 1074
Amount
5100
5100
5109,100
5330.000
Vac/Imp
Improved
Improved
Improved
Vacant
Qualified
No
No
Yes
No
Find Comparable Sales within this Subdivision
Land
Method Frontage Depth
LOT
Units
1.000
Unit Price
23,000.00
Land Value
$23.000
Building Information
r# Description Year Fixtures Base Total SF Heated
Built Area SF
Ext Wall Adj
Value
Repl
Value
Appendages
Page] of 2
http://www.scpafl.org/ParceiDetails.aspx?PID=33-19-30-517-0000-0170 2/29/2012