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Home My WebLink About2016 S HollyRECEIVED y r D JAN • 5 2012 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: / Z — (O� Documented Construction Value: $ 1 '0 Job Address: 2 Historic District: Yes ❑ No 13/ Parcel ID: Zoning: Description of Work: D Lyn 6L\ --)) D 'yj Lbbl-n ADD >)) n tJ Plan Review Contact Person: % f 9 Lt 'gi, k a= Title: 41..) 1-> CrL Phone: q 0 -3Z3 • �f 0 Fax: E-mail: Property Owner Information Name LPhone: Street: Resident of property? : N City, State Zip: S A.N i D ► Contractor Information Name SD`M ,[�< ABN 6- Phone: Street: City, State Zip: Fax: State License No.: A Architect/Engineer Information Name: /�' 7 A Phone: Street: City, St, Zip: Bonding Company: Address: Building Permit O Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Square Footage: 2 oo Construction Type: No. of Stories: No. of Dwelling Units: Electrical D New Service — No. of AMPS: Flood Zone: PD Plumbing 0 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 pefmit 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. 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. C�:2i i� (' S, ) Signature of Owner/ ent Date Aeby Print Owner/Agent's Name ure of Notary -State of Florida Date �J�,,1tY OVBfc JO ANN M. JOHNSON * t MY COMMISSION I DD 781978 EXPIRES: Math 23 2012 or c�aa'Z t NOWy SeMcetOwner/Agent inally Known to Me or Produced ID APPROVALS: ZONING: COMMENTS: Rev 11.08 UTILITIES: ENGINEERING: FIRE: Signature of Contractor/Agent Date Print Contactor/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: IN V U. E C� 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 O may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed %Z in his or her name instead of my own name. I also understand that a contractor is required by law to be l►� 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 roust 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 Lw– C� Property Address: k DLA I, L lA�z r-1 A,& f�— '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. _ Form of (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 g?vern owner -builders as well as employers. I also 113 understand that the construction must comply with all appliaable 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 78 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.mygorida.conVdbl2L/Rro/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 8 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: k DLA I, L lA�z r-1 A,& f�— '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. _ Form of (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: 36-19-30-520-0000-1730 Cavtd Johnson. CFA Parcel: 36-19-30-520-0000-1730 44MEMPROPER I V Owner: BLAIR LARRY D APPRAISER SEMWOL.E COUNW. FLOFUDA Property Address: 2016 HOLLY AVE SANFORD, FL 32771 < Back1 < Previous Parcel I Next Parcel > j Save Layout I Reset Layout jNew Search Parcel: 36-19-30-520.0000-1730 I Value Summary Property Address: 2016 HOLLY AVE Owner: BLAIR LARRY D Mailing: 2012 S HOLLY AVE SANFORD, FL 32771 Subdivision Name: PINEHURST Tax District: S1-SANFORD Exemptions: DOR Use Code: 01 -SINGLE FAMILY W 174 Map Aerial Both Footprint + 0 Extents Center Larger Map I I Dual Map View - External Page 1 of 2 Tax Amount without SOH- 5876 2011 Tax Bill Amount S876 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 Assessment Value Depreciated $25,072 526,862 Bldg Value SO S42,180 Depreciated Schools $42,180 EXFT Value 542,180 Land Value $17,108 S17,108 (Market) SJWM(Saint Johns Water Management) Land Value Ag SO 542,180 Just/Market 542,180 543,970 V •• 542,180 Portability Adj Save Our Homes SO SO Adj Amendment 1 SO SC Adj Book I Page Amount Vac/Imp Qualified Assessed Value S42,1801 S43,97C Tax Amount without SOH- 5876 2011 Tax Bill Amount S876 Tax Estimator Save Our Homes Savings: SO • Does NOT INCLUDE Non Ad Valorem Assessments Legal Description S 38.52 FT LOT 173 & ALL OF LOT 174 PINEHURST PB 3 PG 71 Tax Details Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $42,180 SO S42,180 Schools $42,180 SO 542,180 City Sanford 542,180 SO 542,180 SJWM(Saint Johns Water Management) S42,180 SO 542,180 County Bondsi S42,1801 SO 542,180 Sales Deed Date Book I Page Amount Vac/Imp Qualified CERTIFICATE OF TITLE 02/20101 07329 0446 SIN Improved No WARRANTY DEED OS/20071 2UMI 2MI 5140,000 Improved Yes Find Comparable Sales within this Subdivision http://www.scpafl.orgIParcelDetails.aspx?PID=36-19-30-520-0000- l 730 1/5/2012 SCPA Parcel View: 36-19-30-520-0000-1730 Land Page 2 of 2 < Back < Previous Parcel I Next Parcel > j I Save Layout I Reset Layout New Search http://www.scpafl.orgIParcelDetails.aspx?PID=36-19-30-520-0000-1730 1/5/2012 Method I Frontage I Depth I Units I Unit Price I Land Value FRONT FOOT & DEPTHI 911 1291 1 200.001 $17,108 Building Information # Description Year Built Fixtures Base Area Total SF Heated SF Ext Wall Adj Value Repl Value Appendages 1 SINGLE FAMILY 1950 3 696.00 1.133.00 844.00 CONC BLOCK 525,072 $45,585 Description Area UTILITY UNFINISHED 28 BASE 148 CARPORT UNFINISHED 231 OPEN PORCH FINISHED 30 Permits Permit # Type Agency Amount CO Date Permit Date Extra Features Description Year Bit Units Value Cost New < Back < Previous Parcel I Next Parcel > j I Save Layout I Reset Layout New Search http://www.scpafl.orgIParcelDetails.aspx?PID=36-19-30-520-0000-1730 1/5/2012