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Home My WebLink About1702 Roosene H AveCITY OF SANFORD IIOZ L 0 WILD NG & FIRE PREVENTION Q A PERMIT APPLICATION Application No: Z- 2., Documented Construction Val e: $ —Job Address: 11D Qr }%" '� V -2 Historic District: Yes,S No ❑ Parcel ID: Zoning: !22 H's 'Description of Work: k"oAnk r C . Ak dk - Plan Review Contact Person: Title: Phone: Name l Street City, State Zip: Name Fax: E-mail: Property Owner Inform flw Phone: 10 P ,d`P �� aicI Resident of property? : \A) (te / rd c -T7 -7 1 #h Contractor Information Phone: Street: Fax: City, State Zip: State License No.: Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: Bonding Company: Address: Building Permit O E-mail: Mortgage Lender: Address: PERMIT INFORMATION Square Footage: Construction Type: No. of Stories: No. of Dwelling Units: Electrical O New Service - No. of AMPS: Flood Zone: Plumbing O New Construction - No. of Fixtures: Mechanical 13 (Duct layout required for new systems) Fire Sprinkler/Alarm 13 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, heaters, tanks, and air conditioners, etc. rr• c, OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that Illl�w"ork will be done in compliance with all applicable laws regulating construction and zoning. `fb 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. Si aturc f O er/Agent Date c. mS �. cLS caner/Agent's Name Signature of Notary- o lorida Date Owner/Agent is Produced ID APPROVALS: COMMENTS: Rev 11.08 nd AUV'�61 Per jI _ TYP� ZONING'�/i/,110�5,��`�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: /Poperty Address: k r1O a Qc cc 5e -v - � -� (VJ C-%_ \j3�L� am S Q S , 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. re of Owner -Builder Form of Identification 41 (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. N� 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.mvflorida.com/dbpE/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 11 N 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. /Poperty Address: k r1O a Qc cc 5e -v - � -� (VJ C-%_ \j3�L� am S Q S , 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. re of Owner -Builder Form of Identification 41 (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 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 'fi 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 N` 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 1 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 roust l� comply with laws requiring the withholding of federal income tax and social security contributions rV 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 SCPA HyperLiteWeb Parcel View: 35-19-30-513-1700-0110 Page 1 of 2 C>wvld Johnson. C srA Parcel: 35-19-30-513-1700-0110 PROPERTY Owner: WILLIAM NICOLE �P�S� SEMW40LE OOUNW FLORID^ Property Address: 1702 ROOSEVELT AVE Parcel: 35.19-30-513-1700-0110 Value Summary Property Address: 1702 ROOSEVELT AVE Owner: WILLIAM NICOLE Mailing: 1 S07 S WEST RD SANFORD, FL 32771 Subdivision Name: PINE LEVEL Tax District: SI-SANFORD Exemptions: DOR Use Code: O] -SINGLE FAMILY 2012 Working Values 2011 Certified Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value $15,836 $16,059 Depreciated EXFT Value Land Value (Market) 16,888 56,888 10 W �- W W OAssessed Land Value Ag Just/Market Value 122,724 122,947 Portability Adj Save Our Homes Adj $0 SO Amendment 1 Adj SO 10 Valuel S22,7241 522,947 Tax Amount without SOH: 1457 2011 Tax Bill Amount 5457 Tax Estimator Save Our Homes Savings: 10 • Does NOT INCLUDE Non Ad Valorem Assessments Map Aerial Both Footprint + - Extents Center ��.^ Legal Description LEG LOT 1 1 BLK 17 PINE LEVEL PB 6 PG 37 Tax Details Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $22,724 10 122,724 Schools $22,724 SO $22,724 City Sanford $22,724 SO $22,724 SJWM(Saint johns Water Management) $22,724 $0 122,724 County Bondsi S22,7241 Sol 122,724 Sales Deed Date Book Page Amount Vac/Imp Qualified QUIT CLAIM DEED 01/2007 06539 1992 $200 Improved No QUIT CLAIM DEED 06/1988 01972 QM1 1100 Improved No Find Comparable Sales within this Subdivision Land http://www.scpafl.org/Parcel Details. aspx?PID=35-19-30-513-1700-0110 11/7/2011 SCPA HyperLiteWeb Parcel View: 35-19-30-513-1700-0110 Page 2 of 2 F75-a-ck--1 Save Layout I Reset Layout New Search http://www.scpafl.org/Parce]Details.aspx?PID=35-19-30-513-1700-0110 11/7/2011 Method Frontage Depth I Units Unit Price Land Value FRONT FOOT & DEPTHI 401 100 .0001 210.001 S6,888 Building Information 1*1 Description I Year Built Fixtures I Base Area I Total SF I Heated SF I Ext Wall I Adj Value I Repl Value III SINGLE FAMILY1 19631 31 700.001 790.001 700.001 SIDING AVG $15,8361 522,304 Permits Permit # Type Agency Amount CO Date Permit Date Extra Features Description Year Bit Units Value Cost New F75-a-ck--1 Save Layout I Reset Layout New Search http://www.scpafl.org/Parce]Details.aspx?PID=35-19-30-513-1700-0110 11/7/2011