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
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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:
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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
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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.
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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
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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:
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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.
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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
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license.
I understand that building permits are not required to be signed by a property owner unless he or she is
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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
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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.
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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: