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HomeMy WebLinkAbout2564 Park Dr (2)ME 7 CITY OF SANFORD NOV 0'8 2011 BUILDING A FIRE PREVENTION BY: I PERMIT APPLICATION Application No: d�-' I Documented Construction Value: Job Address:.Q , Z-4) 14--- 6 ZI 3343 Historic District: Yes ❑ No ❑ Parcel ID: —"-2, O 11 L7 Zoning: De�rscmripti e o Wor r� �" Plan Review ontact Person: ' 1111ef Phone: �;tUFax: Email: k_4 o) �:j Zwp _ Property Owner Information Name n ;ZF�AN V N j\)W W j 1 Phone: t,�-_3 — o Street: ,D-56" SIL Resident of property? : City, State Zip: ' p Contractor Information Name Phone: Street: Fax: City, State Zip: State License No.: Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: ' Mortgage Lender: Address: Address: PERMIT INFORMATION Building Permit O Square Footage: Construction Type: No. of Stories: lio. of Dwelling Units: Flood Zone: electrical O Plumbing 13 few Service — No. of AMPS: mollip"liot, New Construction - No. of Fixtures: Zechanical O (Duct layout ��' '''FTr �' ) Fire Sprinkler/Alarm 0 No. of heads: 1� �.oWV <: °ems•, �Jo f 1 oVJ pRo !z C10 -Al Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no ; work or'installadon has commenced prior to the issuance of a permit and that all work will be performed to . meet standards of all law'Sregulating 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 wiU be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMIIENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB $ITE 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. — -L - 0 - - �'V. g � l\ Signa re fOwn /Agent pate Print er/Agent's N Si awre of Not&5Sdie of Florida pate Owner/Agent is Produced ID APPROVALS: COMMENTS: Rev 11.08 ...... F .�.t COMM/ �O.� uaq, e y . Wy Knewn tb rte_ sem, a� Signature of Contractor/Agent pate 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 UTILITIES: WASTE WATER: " 411111OW'. ENGINEERING: FIRE: BUILDING: 5 J Property Address: I, UV(LLEn ` , 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. Si ature Owner i er Date Form of Identification K ,4 _ d, G N (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 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. /�J At)1 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 1 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.myflorida.com/dbRLpro/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 ^ 1 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 Ithat 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, UV(LLEn ` , 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. Si ature Owner i er Date Form of Identification K ,4 _ d, G N (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 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 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 J license. I understand that building permits are not required to be signed by a property owner unless he or she is TO� , l J jV 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 1 residence must be for my own use or occupancy. It may not be built or substantially improved for sale or �N 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. (V 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 1 working on my building or residence. It is my responsibility to ensure that the persons whom I Spersons Nemploy 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 SCPA HyperLiteWeb Parcel View: 01-20-30-504-7AOO-0110 parvto ,Jorvnoon, CPA Parcel: 01-20-30-504-7A00-0110 � Owner: NWOKE3I EZEANONYE 7A%PPRAISFJ�property Address: 2564 PARK AVE ytwot.e C01lMTY, FLORIDA Parcel: 01.20.30.504.7A00.0110 Value Summary Property Address: 2564 PARK AVE Owner. NWOKEJI EZEANONYE Mailing: 5103 EUGENE AVE BALTIMORE, MD 21206 Subdivision Name: DREAMWOLD Tax District: S4-SANFORD- 17.92 REDVDST Exemptions: DOR Use Code: 39 -HOTEL MOTL CY Incc it Q d - -' i - >' :- us 14. q � wa—'97- t� Nap Aerial Both Footprint ; - 6ctents Center Views Tax Amount without SOH: 53.289 _ 2011 Tax Bill Amount 53,289 Tax Estimator Save Our Homes Savings: f0 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LEG LOTS 1) 12 + 13 (LESS N 25 FT LOT 11) BLK 7A DREAMWOLD PB 4 PG 30 Tax Details Taxing Authority 2012 Working 2011 Certified Taxable Vah Values Values Valuation Method Income Income Number of 4 4 Buildings S 165,075 SO Depreciated Bldg SJWM(Saint Johns Water Management) S16S,07S Value 5165,0 CountyBonds Depreciated EXFT SO S 165,0 Value Subdivision $13,510 Land Value MASONRY PILASTER. 1947 (Market) 703.00 CONCRETE BLOCK - MASONRY Land Value Ag 550,6' Just/Market $165,075 S1165,075 Value Portability Adj Save Our Homes SO f0 Adj Amendment 1 s0 f0 Adj Assessed Value f 165,075 f 165,075 Tax Amount without SOH: 53.289 _ 2011 Tax Bill Amount 53,289 Tax Estimator Save Our Homes Savings: f0 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LEG LOTS 1) 12 + 13 (LESS N 25 FT LOT 11) BLK 7A DREAMWOLD PB 4 PG 30 Tax Details Taxing Authority Assessment Value Exempt Values Taxable Vah County General Fund S 165,075 s0 S1165.0; Schools S 165,075 s0 S)65,0: City Sanford S 165,075 SO f 165,0 SJWM(Saint Johns Water Management) S16S,07S SO 5165,0 CountyBonds S 165,075 SO S 165,0 Sales Deed Date Book Page Amount Vac/Imp Qualifit WARRANTY DEED 04/2011 07558 0466 $175,000 Improved Y, WARRANTY DEED 11/2001 04216 5100 Improved r QUIT CLAIM DEED 07/1998 03517 0206 $100 Improved r rid Comparable Sales within this Subdivision $13,510 567,5! MASONRY PILASTER. 1947 Land Method Frontage Depth Units Unit Price Land Value SQUARE FEET 0 0 30.960.000 3.00 592,880 Building Information Description Year Built Stories Total SF Ext Wall Adj Value Repl Vali MASONRY PILASTER. 1947 1 2,163.00 CONCRETE BLOCK- MASONRY 562,274 5207,51 MASONRY PILASTER. 1947 1 336.00 CONCRETE BLOCK - MASONRY 55,422 $27,1' MASONRY PILASTER. 1947 1 1,012.00 CONCRETE BLOCK - MASONRY $13,510 567,5! MASONRY PILASTER. 1947 1 703.00 CONCRETE BLOCK - MASONRY S110,1130 550,6' http://www.scpafl.org/Parcel Detail s.aspx?PID=O1-20-30-504-7AOO-01 10 Page l of 2 11/8/2011 Permit No. U ` Tax Folio No. l — 2 —'Z �2S O L% _ �-� 0 D — C � 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. 11MI N0111113110101a111911101111lmIlls YMMM MORSE, CLEF: OF CIFEUIT MXT 1MXE COUNTY BK 07661 Pg 0367; (Ipg) CLERK'S * 201[11.120519 RECORDED 11/08/2011 10s16s2'8 AM REC111MIM8 FEES 10.00 RECORDED BY T Smith -1. Description of property: (legal description of the property, and street address if available) I- 2. General description of improvement:• , 3. Owner information: Name: t Address: 0 -LF -4--X L " b. Interest in property: _ c. Name and address of fee simple titleholder (if other than Owner): Name: etailin COP Address: ,..INF MO SE 4. Contractor Name: r; , ,z r Phone number: UIT C 10� c. Address: TY, fl 5. Surety Name ' Address: v K b. Amount of bond: $ O Q 2011 6. Lender: Name: V 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 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 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 1, 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 LEINDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF Authorized anager Signatory's Title/Office The foregoing'Instrur6ent was acknowledged before me this day of , (year) , by (name of person) as (type of authority.... e.g. officer, trustee, attorney in fgt�t'l 11t ftt3nr)y of party on behalf of whom instrument was executed) . CL-V-r�- n ct4 Signature of Notary Public Personally Known OR 0 o tz ve 'fication pursuant to Section 92.525, rfgWgg.$iatutes: the is st - ed in it are true to the best of my:) O*M- ed� Sign lure 9�tQafura rson Signing Above � l Rev. ate 312 08 Type of Identification Produced of perjury, I declare that I have read the foregoing and that Mi5 1.%,A,kUM-Ufl PRI" f-O.Le. BY: