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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 APPROVED BY: DMD ,RNarz 01-23.12 FIE JOB NO ASM48078 FINAL 09-20-05 51 FOW00ARD 07/12/05 40 DRAWN BY: e I LB UmLiED BUS CS. LS LICENSED SURMETC1 PRIM :rRno.- 1 �J PDT PLAT LOT 245 TND FOUND LOT 243 I V �i1� CONONCTE PAD Co SLAB C PK CHORE), LWCIN PATTER KALDN R Poc RADIUS PONT ON CURVE F `ur i yN ONE STORYO CONWETE FAITOt ry FENCE P W 1 ,j iti9l FlOOTt c EIEVATOf.1653 : W is MAW i ' O c, O a� 3 C> C> `` + 00 �- o . �o COVERED,O� Z in 1 IOd ENTRANCE 5 or Ind i ;n O I's ler UTMOT EASEMENT . ••� •: .•-: WALK IS a5. OT' �4fS\N , r.• N ALX 6 65. O: N89'56'00"W 60.00' g Q _ 3' - _ _ _ __ KEY HAVEN _ 1650Y �! 27D_IT DRIVE "p0S6OD1� 43'''° -- _ _ 7 5EF RIWI Or NAY \flNrURwE Di I Q KIM" O NAYMR iR N I Ya 8 , =8 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 — — BWDPMC SETBACK lNE — CENIE LIME - - 01041 CE NAY LIKE , �+4,j DUSUNG ELEVATION Q coNa6-rE LB UmLiED BUS CS. LS LICENSED SURMETC1 PRIM PETMIWDNT REFERENCE MONWENT P(m) 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 < Back < Previous ParcelI I Next Parcel > j I Save Layout I Reset Layout jNew Search 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