HomeMy WebLinkAbout2418 MyrtleMAR 5 M2
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
/ 9 Od
Application No: ( a - /o 3 / Documented Construction Value: $ �T 000
Job Address: /$ Historic District: Yes ❑ No ❑
Parcel ID• Zoning:
Description of Work: ,
Plan Review Contact Person:
Phone: a-17 Ry_i5 3S" F
E-mail:
Property Owner Information
Title: 4'lv,, ,y , /
Name �c� �� Phone:? �•-J".�'y
Street: o Resident ofproperty?
•
City, State Zip: -113
Contractor Information
Name Phone:
Street:
Fax:
City, State Zip: State License No.:
Architect/Engineer Information
Name:
Street:
Phone:
Fax:
City, St, Zip: E-mail:
Bonding Company:
Address:
Building Permit ❑
Square Footage:
Mortgage Lender:
Address:
No. of Dwelling Units: Flood Zone:
Electrical ❑
New Service — No. of AMPS:
Mechanical ❑ (Duct layout required for new systems)
.8-9- . 31k
Plumbing ❑
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm ❑ No. of heads:
od
05
Z
PERMIT INFORMATION
i i
•�
• Y' •. 111.
���' ,
f
Construction Type:
No. of Stories:
No. of Dwelling Units: Flood Zone:
Electrical ❑
New Service — No. of AMPS:
Mechanical ❑ (Duct layout required for new systems)
.8-9- . 31k
Plumbing ❑
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm ❑ No. of heads:
od
05
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.
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:=t�A , �C,
Si ature of Owner/Age Date Signature of Contractor/Agent Date
Print Owner/Agent's Name
lJ5•/ 02.
nVer�'.
DEBBIE BLANTON
,�ti'pv
?r°. . r• ;
Notary Public • State of Florida
. • =
My Comm. Expires Feb 25. 2015
Commission # EE 60182
Bonded Through National Notary Assn.
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or
Produced ID Type of ID _'Lu- fit-- �/ Produced ID Type of ID
e xo r r// /
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Rev 11.08
SCPA Parcel View: 36-19-30-539-0000-0340
4SD --ld Jets -180n. C 2A Parcel: 36-19-30-539-0000-0340
PROPERTY Owner: LEWIS JUDITH A
APPRAISER Property Address: 2418 MYRTLE AVE SANFORD, FL 32771
EMIFAXE C�OUN Y. FLORIDA
< Back 11 < Previous Parcel Next Parcel > Save Layout I Reset Layout jNew Search
Parcel: 36.19.30.539.0000.0340 I Value Summary
Property Address: 2418 MYRTLE AVE
Owner: LEWIS JUDITH A
Mailing: 708 HAINES BLVD
CHAMPAIGN, IL 61820
Subdivision Name: FRANKLIN TERRACE
Tax District: S1-SANFORD
Exemptions:
DOR Use Code: 01 -SINGLE FAMILY
N
J�
7
Map Aerial Both Footprint + D Extents Center
Larger Map I I Dual Map View - External
Page 1 of 2
2012 Working
2011 Certified
C
Values
Values
Valuation
Cost/Market
Cost/Markel
a[
Tax Details
Number o
1
1
N
7
Map Aerial Both Footprint + D Extents Center
Larger Map I I Dual Map View - External
Page 1 of 2
Tax Amount without SOH: S 1,291
2011 Tax Bill Amount 51,291
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
Tax Details
Number o
1
1
Buildings
Depreciated
S73,597
S77,925
Bldg Value
Assessment Value
Exempt Values Taxable Value
Depreciated
51,318
S1,3118
EXFT Value
SO
S100,765
Land Value
525,850
S25,850
(Market)
$0
S100,765
Land Value Ag
City Sanford
5100,765
Just/Market
S100.765
S105,093
V ••
SJWM(Saint Johns Water Management)
$100,765
Portability Adj
SO
S100,765
Save Our Homes
SO
S0
Adj
SO
$100,765
Amendment 1
SO
Adj
Sales
Assessed Valuel
S1100,7651
S105,093
Tax Amount without SOH: S 1,291
2011 Tax Bill Amount 51,291
Tax Estimator
Save Our Homes Savings: SO
Does NOT INCLUDE Non Ad Valorem
Assessments
Legal Description
LEG LOTS 34 + 35 FRANKLIN TERRACE PB 3 PG 78
Tax Details
Taxing Authority
Assessment Value
Exempt Values Taxable Value
County General Fund
S100,765
SO
S100,765
Schools
$100,765
$0
S100,765
City Sanford
5100,765
SO
S100,765
SJWM(Saint Johns Water Management)
$100,765
SO
S100,765
County Bondsi
S100,7651
SO
$100,765
Sales
Deed Date
Book Page
Amount
Vac/Imp
Qualified
SPECIAL WARRANTY DEED 01/2012
07710 001 1
535,000
Improved
No
SPECIAL WARRANTY DEED 10/2011
07657 1347
5100
Improved
No
CERTIFICATE OF TITLE 01/2011
07517 0436
$100
Improved
No
WARRANTY DEED 10/2001
04242 1623
$87,500
Improved
Yes
http://www.scpafl.org/ParcelDetails.aspx?PID=36-19-30-539-0000-0340 3/5/2012
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
Q
the property listed, may act as my own contractor with certain restrictions even though I do not have a
aL`
license.
I understand that building permits are not required to be signed by a property owner unless he or she is
dL,
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
�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 1 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:
I, , do hereby state that 1 am qualified
and capable of performing the requested construction involved with the permit application filed and agree to the
conditions specified above.
SignAture of
Form of Identification
(Must be Photo ID)
Date
3
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.rn orida.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
coverage.
Property Address:
I, , do hereby state that 1 am qualified
and capable of performing the requested construction involved with the permit application filed and agree to the
conditions specified above.
SignAture of
Form of Identification
(Must be Photo ID)
Date
3
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
Permit No. A, • - Ia_ ! 9
Tax Folio No.a34-- -)v - jc> - 5 -? C? - a D v o
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
MARYANNE MORSE, CLERK OF CIRCUIT MW
SMINDLE CUffY
OK 07724 Pg 1626; (lpg)
CLERW S It 2012026068
RECORDED 03/05/2012 10s31s24 AN
RECORDING FEES 10.00
RECORDED BY T Smith
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. c
(
I . Description of property: (legal description of the property, and street address if available)
3,2-7 -,7
A-
2. General description of improvement: � l I �► G� ,
-• Address: J �-t ► M,�T(co
b. Interest in property: 4,6 N,? f�
c. Name and address of fee simple titleholder (if other than Owner): Name:
Address:
4. Contractor Name: Phone number:1 �`i A ` o -���
c. Address: 0 4 1 (Yw &rl p 3`�a IVIED COPY
r
5. Surety Name
1NJARYAN _
b. AAmount of bond: $ CLERK OF t.11t%Ty, FLORIDA
6. Lender: Name: N I SEMMO
Address:
b. Lender's phone number:
7.a. Persons within the State of Florida designated by Owner upon whom notices or other documents may be s ry d 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 1 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
COM NCE E
p
Signatur of Owner or Owner's A orized Officer/Director/Partner/Manager Signatory's Title/Office
y
(year) L
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) .
(/ 3
OS' t �L-- (SEAL)
Signature of Notary Public / Tl_ L I �' /
Personally Known OR Produced Identification ✓ Type of Identification Produced�i/1 I�
Verification pursuant to Section 92.525, Florida Statutes: Under penalties of perjury, l declare that I have read the foregoing and that
th facet stated in it are true to the bast of my knowledge and belief.
X ( DEBBIE BLANTON
Si lure of Natural Person Signing Above s?°• `� Notary Public -State o1 5,2015
g g g 5 • : : • My Comm. Expires Feb 25, 2015
Rev. date 3/2008-F QA's Commission # EE 60182
°� �•', Bonded Through National Notary Assn.