HomeMy WebLinkAbout304 Key HavenRECEIVED
FEB 92012
BY:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: oZ - (P Documented Construction Value: $
Job Address: 5 to u ft v e N
Parcel ID•
Historic District: Yes ❑ No ❑
Zoning:
Description of Work: Lz Ui n., I
Plan Review Contact Person: Title:
Phone:
Fax:
E-mail:
A Property Owner Information
Name � 2 I
Street: 1/0 ti"j S O N DZ
City, State Zip: g (`'F 0 Poy-A -3
Name
Street:
City, State Zip: _
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Building Permit O
Phone: q'd 2 - 8�L) - (O 7
Resident of property? :
Contractor Information
Phone:
Fax:
State License No.:
Architect/Engineer Information
Phone:
Fax:
E-mail: _
Mortgage Lender:
Address:
PERMIT INFORMATION 9f ,hit
Square Footage: Construction Type:
No. of Dwelling Units:
Electrical O
New Service - No. of AMPS:
Flood Zone:
No. of Stories:
Plumbing O
New Construction - No. of Fixtures:
Mechanical 13 (Duct layout required for new systems) Fire Sprinkler/Alarm 0 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, beaters, 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.
SignaturCof, vmer/Agent Date
y rl li% 61c�+1 L f aC
Print Owner/Agent's Name
DEBBIE BLANTON
Notary Public - State of Florida
My Comm. Expires Feb 25. 2015
Commission N EE 60102
Bonded Through National Notary Assn.
Owner/Agent is Personally Known to Me or
Produced ID Type of ID R-�L ,e v -P - 1 I 1307 11'�
APPROVALS: ZONING: UTILITIES:
ENGINEERING:
COMMENTS:
Rev 11.08
I4111V4
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:
OWNER BUILDER STATEMENT/AFFIDAVIT
Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford,
Seminole County, Winter Springs
Florida Statutes are quoted here in pari 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
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. 1 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
aj
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. 1, 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: 3 O L7 '<e
A
I, , 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.
Signature of Owner -Builder Date
Form of Identification
(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
j
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.mvflorida.com/dbpr/uro/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
103
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 on this disclosure or in the application
provided permit 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: 3 O L7 '<e
A
I, , 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.
Signature of Owner -Builder Date
Form of Identification
(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 . T
PLAT OF SURVEY
DESCRIPTION: (AS FURNISHED)
LOT 244, CELERY KEY,
AS RECORDED IN PLAT BOOK 64, PAGES 85-96, OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA.
FOR THE BENEFIT AND NOTE -
THE USE OF: THE FINISHED FLOOR ELEVATION OF THIS
EXCLUSIVE
JOHN STRUCTURE MEETS OR EXCEEDS THE
ROKITATHE REQUIREMENTS SET FORTH IN THE
CITY OF SANFORD CODE CHAPTER 6, SEC. 6-7(A).
LOT 246 LOT 247 LOT 248
1
1 �
13, 60.00' Q'"E6 : ,SSI 1' 30'
589'56'00"E D 1' s 1'—
----------- 0 15 30
NOTE:
1. ALL DIRECTIONS AND DISTANCES HAVE
BEEN FIELD VERIFIED AND ANY
INCONSISTENCIES HAVE BEEN NOTED ON THE
SURVEY, IF ANY.
2. PROPERTY CORNERS SHOWN HEREON WERE
SET/FOUND ON 01-1-12, UNLESS OTHERWISE
SHOWN.
3. THE SURVEYOR HAS NOT ABSTRACTED THE
LAND SHOWN HEREON FOR EASEMENTS, RIGHT OF
WAY. RESTRICTIONS OF RECORD WHICH MAY
AFFECT THE TITLE OR USE OF THE LAND.
4. NO UNDERGROUND IMPROVEMENTS HAVE BEEN
LOCATED EXCEPT AS SHOWN
5.NOT VALID WITHOUT THE SIGNATURE AND THE
ORIGINAL RAISED SEAL OF A FLORIDA LICENSED
SURVEYOR AND MAPPER.
1 HAVE EXAMINED THE r.IRM. COMMUNITY Pyla N0 120294 ODW E
DATED 04/17/°5, ANO FOUND THE S I ECI PROPERTY APPEARS
TO LE N 204 X. AN ARU OUTSIDE IOD VEAR FLOOD MAW
THE SINMETOt MAKU NO GUARANTEES AS 70 THE AEKI E INFORMATION.
PLEASE CONTACT USE LOCK rZUA AGEMT FOL VERlIXA110N.
ELEVATOR SHIM NIXON AM RAM ON SENNOE C0LJ1rV
IOTCAL CONTROL AS FURNISHED
ION THE EASTERLY LINE OF LOT 244 I
DUNG SOO'04'ODrN, PER PLAT,
-- - •^•1"
REVISED:
SCALE- 1" . 30 FEET
LOT 244
1
— CENIE LIME
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JOB NO ASM48078
FINAL 09-20-05 51
FOW00ARD 07/12/05 40
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NOTE:
1. ALL DIRECTIONS AND DISTANCES HAVE
BEEN FIELD VERIFIED AND ANY
INCONSISTENCIES HAVE BEEN NOTED ON THE
SURVEY, IF ANY.
2. PROPERTY CORNERS SHOWN HEREON WERE
SET/FOUND ON 01-1-12, UNLESS OTHERWISE
SHOWN.
3. THE SURVEYOR HAS NOT ABSTRACTED THE
LAND SHOWN HEREON FOR EASEMENTS, RIGHT OF
WAY. RESTRICTIONS OF RECORD WHICH MAY
AFFECT THE TITLE OR USE OF THE LAND.
4. NO UNDERGROUND IMPROVEMENTS HAVE BEEN
LOCATED EXCEPT AS SHOWN
5.NOT VALID WITHOUT THE SIGNATURE AND THE
ORIGINAL RAISED SEAL OF A FLORIDA LICENSED
SURVEYOR AND MAPPER.
1 HAVE EXAMINED THE r.IRM. COMMUNITY Pyla N0 120294 ODW E
DATED 04/17/°5, ANO FOUND THE S I ECI PROPERTY APPEARS
TO LE N 204 X. AN ARU OUTSIDE IOD VEAR FLOOD MAW
THE SINMETOt MAKU NO GUARANTEES AS 70 THE AEKI E INFORMATION.
PLEASE CONTACT USE LOCK rZUA AGEMT FOL VERlIXA110N.
ELEVATOR SHIM NIXON AM RAM ON SENNOE C0LJ1rV
IOTCAL CONTROL AS FURNISHED
ION THE EASTERLY LINE OF LOT 244 I
DUNG SOO'04'ODrN, PER PLAT,
-- - •^•1"
REVISED:
SCALE- 1" . 30 FEET
— BWDPMC SETBACK lNE
— CENIE LIME
APPROVED BY: DMD
,RNarz 01-23.12 FIE
JOB NO ASM48078
FINAL 09-20-05 51
FOW00ARD 07/12/05 40
DRAWN BY:
Rpi FLM 4/13/67 ;-Lc
A'5M
AMEFZIC.AN
SURVEYING
L& MAPPING INC.
CERTMTCA1104 OF AUTHORIZATION MAYOR LBF6393
3191 MAG IRE gVO.. SUITE 20D
LRLANNO. FLORIDA 322405
(402) 425-7979
NNN VEYNGA NDMAPPINO.COM
i�
U
QFOUND NAIL AND
OS'C l6 057M
oIr mom ROD
ANCMI LB "3
OU CLRRER NOT ACCESSIBLE
A CENTRAL ANCEE
L ARC LENGTH
C.B. 010X14 BEAIILNC
PC PONT O CURVATURE
R PONT DT INTERSECTION
PRC PONT O E
REVEIM CURVATURE
PT PONT O IAMCDIC/
rip T7NCJE
A/CAR CONDITIONER
CBN CE"CFrm BLOC WALL
RP RADIUS PONT
B IOL tT�CJVTW n LINE
%t PONT ON LINE
PCC POM OF COMPOUND CURVE
UP UTILITY PAD
I HEREBY CERTIFY. THAT THIS BOUNDARY
SURVEY. SUBJECT TO THE SURVEYOR'S NOT]
CONTAINED HEREON MEETS THE APPLICABLE
'MINIMUM TECHNICAL STANDARDS' SET FORI
BY THE FLORIDA BOARD OF PROFESSIONAL
SURVEYORS AND MAPPERS IN CHAPTER
61617-6. FLORIDA ADMINISTRATIVE CODE
PURSUANT TO CHAPTER 472.027. FLORIDA
/ FOR
DAVID M. ON:FIUPPO /5035SOJB - wlc
LEGEND
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— CENIE LIME
-
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,
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LICENSED SURMETC1
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PERMANENT CONTROL PONT
PDT PLAT
(Y)
MEAAJRED
TND
FOUND
sMCONERM
WALK
6
CONONCTE PAD
Co SLAB
C
PK
CHORE), LWCIN
PATTER KALDN
R
Poc
RADIUS
PONT ON CURVE
A'5M
AMEFZIC.AN
SURVEYING
L& MAPPING INC.
CERTMTCA1104 OF AUTHORIZATION MAYOR LBF6393
3191 MAG IRE gVO.. SUITE 20D
LRLANNO. FLORIDA 322405
(402) 425-7979
NNN VEYNGA NDMAPPINO.COM
i�
U
QFOUND NAIL AND
OS'C l6 057M
oIr mom ROD
ANCMI LB "3
OU CLRRER NOT ACCESSIBLE
A CENTRAL ANCEE
L ARC LENGTH
C.B. 010X14 BEAIILNC
PC PONT O CURVATURE
R PONT DT INTERSECTION
PRC PONT O E
REVEIM CURVATURE
PT PONT O IAMCDIC/
rip T7NCJE
A/CAR CONDITIONER
CBN CE"CFrm BLOC WALL
RP RADIUS PONT
B IOL tT�CJVTW n LINE
%t PONT ON LINE
PCC POM OF COMPOUND CURVE
UP UTILITY PAD
I HEREBY CERTIFY. THAT THIS BOUNDARY
SURVEY. SUBJECT TO THE SURVEYOR'S NOT]
CONTAINED HEREON MEETS THE APPLICABLE
'MINIMUM TECHNICAL STANDARDS' SET FORI
BY THE FLORIDA BOARD OF PROFESSIONAL
SURVEYORS AND MAPPERS IN CHAPTER
61617-6. FLORIDA ADMINISTRATIVE CODE
PURSUANT TO CHAPTER 472.027. FLORIDA
/ FOR
DAVID M. ON:FIUPPO /5035SOJB - wlc
SCPA Parcel View: 29-19-31-501-0000-2440
0cv-Ad Johneon. CSA Parcel: 29-19-31-501-0000-2440
4SEM94OLE
ROPERTY Owner: ROKITA 3OHN A III & ROBERTA L
PRAISER Property Address: 304 KEY HAVEN DR SANFORD, FL 32771
OOtJrnY. FLO1ipA
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Parcel: 29.19.31.501.0000.2440 I Value Summary
Property Address: 304 KEY HAVEN DR
Owner: ROKITA JOHN A III & ROBERTA L
Mailing: 1794 ST ANDREWS DR
POTTSTOWN, PA 19464
Subdivision Name: CELERY KEY
Tax District: Sl-SANFORD
Exemptions:
DOR Use Code: 01 -SINGLE FAMILY
�, 1
p
13:�z
KEY HAVEN DR
RM
Map Aerial Both Footprint I+ Extents Center
Larger Map Dual Map View - External
Page 1 of 1
Tax Amount without SOH: 52,008
2011 Tax Bill Amount 52,008
Tax Estimator
Save Our Homes Savings: $0
Does NOT INCLUDE Non Ad Valorem
Assessments
Legal Description
2012 Working
2011 Certified
Values
Values
Valuation
Cost/Market
Cost/Market
Method
Tax Details
Number of
1
1
Buildings
Depreciated
S80,681
$84,806
Bldg Value
Assessment Value
Exempt Values Taxable Value
Depreciated
County General Fund
$96,681
EXFT Value
SO
$96,681
Land Value
$16,000
S116'000
(Market)
SO
S96,681
Land Value Ag
City Sanford
596,681
Just/Market
YdUL..
S96,681
S100,806
Portability Adj
SJWM(Saint Johns Water Management)l
596,681
Save Our Homes
SO
SO
Adj
County Bondsi
S96.6811
Amendment 1
SO
SO
Adj
Assessed Value
596,681
$100,806
Tax Amount without SOH: 52,008
2011 Tax Bill Amount 52,008
Tax Estimator
Save Our Homes Savings: $0
Does NOT INCLUDE Non Ad Valorem
Assessments
Legal Description
LOT 244 CELERY KEY PB 64 PGS 85 - 96
Tax Details
Taxing Authority
Assessment Value
Exempt Values Taxable Value
County General Fund
$96,681
SO
$96,681
Schools
$96,681
SO
S96,681
City Sanford
596,681
SO
S96,681
SJWM(Saint Johns Water Management)l
596,681
Sol
S96,681
County Bondsi
S96.6811
Sol
S96,681
Sales
Deed Date
Book Page
Amount
Vac/Imp
Qualified
SPECIAL WARRANTY DEED 02/2011
07551 0439
597,000
Improved
No
SPECIAL WARRANTY DEED 01/2011
07551 0429
5100
Improved
No
CERTIFICATE OF TITLE 08/2010
07428 1851
5100
Improved
No
WARRANTY DEED 10/20051
UMI 1284
S250,2001
Improvedl
Yes
http://www.scpafl.org/ParcelDetails.aspx?PID=29-19-31-501-0000-2440 2/9/2012