HomeMy WebLinkAbout416 Willow Ave (3)RECEIVED ary OF SAN
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BUILDING,. ,8� FIRE PREVENTION
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OCT 2 4 1011 PERMIT APPLICATION
1BY:
Application No: 1 5 Documented Construction Value: $ 4 ZOO
Job Address: y- % W t \ V W GVe , c j: ,, Sc),' AIL Historic District: Yes ❑ No ❑
Parcel ID: Zofiing:
Description of Work:
Plan Review Contact Person:
Phone:
Fax: E-mail:
Property Owner Informa 'on
ame G 0 (' i Cly. U Yr Phone: qO I
treet: OW CQ CP_ , C �, 1Pcy-4 V j • Resident of property?
ity, State Zip:
Contractor Information
Title:
Name
Street:
City, State Zip:
Phone:
Fax:
State License No.:
Architect/Engineer Information
Name: Phone:
Street:
City, St, Zip:
Bonding Company: '
Address:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
3uilding Permit O
)quare Footage: Construction Type: No. of Stories:
fo. of Dwelling Units: Flood Zone:
,lectrical O
lew Service — No. of AMPS:
Zeehanieal E3 (Duct layout required for new systems)
Plumbing O
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm CI 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'installi6n has commenced prior to the issuance of a permit and that all work will be performed to ,
meet standards of all law'si0gulating 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 $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.
Io - 2 2011
Signature of Owner/Agent pate
M=Us Name
10`2cf/
Signature of NotaryState of Florida pate
Owner/Agent is
Produced ID
APPROVALS:
COMMENTS:
Rev 11.08
to Me or
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:
FIRE: BUILDING:
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
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
a�:�
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
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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
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.
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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
persons working on my building or residence. It is my responsibility to ensure that the persons whom I
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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 roust
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(MG w,, `\\Ow C..,V
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.
C—� C---5
Signature of Owner -Builder
Date
Form of Identification_ 1�lx• � kk 2`r' , r C>V, Se 3
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 agtee that, as the party legally and financially responsible for this proposed construction activity, 1 will
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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.
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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 1-850-487-1395 or at www.myflorida.com/dbpr/pro/cilb/ for
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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(MG w,, `\\Ow C..,V
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.
C—� C---5
Signature of Owner -Builder
Date
Form of Identification_ 1�lx• � kk 2`r' , r C>V, Se 3
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
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
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VALUE SUMMARY
VALUES 2011
2010
Working
Certified
GENERAL
Value Method Cost/Market
Cost/Market
Parcel Id: 30-19-31-517-01300-0100
Number of Buildings 1
1
Owner: URIBE GLORIA
Depreciated Bldg Value $31,331
$37,200
Mailing Address: 416 WILLOW AVE
Depreciated EXFT Value $0
$0
CIty,State7JpCode: SANFORD FL 32771
Land Value (Market) $12,852
$13,770
Property Address: 416 WILLOW AVE SANFORD 32771
Land Value All $0
$0
Subdivision Name: FELLOWSHIP ADD
Just/Markat Value $44,183
$50.970
Tax District: S1-SANFORD
Portablity Adj $0
$0
Exemptions:
Save Our Homes Adj 1 $0
$0
Don 01 SINGLE FAMILY
Amendment 1 Adj $0
$0
Assessed Value (SOH) $44,183
$50.970
Tax Estimator
2011 TAXABLE VALUE WORKING ESTIMATE
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund
$44,183 $0
$44,183
(Amendment f adjustment is not applicable to school assessment) Schools
$44.183 • $0
$44,183
City Sanford
$44.183 $0
$44.183
SJWM(Salnt Johns Water Management)
$44,183 $0
$44,183
County Bonds 1
$44,183 $0
$44,183
The taxable values and taxes are calculated using the current years working values and the prior years approved millage rates.
SALES
Deed Date Book Page Amount VwAmp Qualified
2010 VALUE SUMMARY
SPECIAL WARRANTY DEED 05/2011 07579 0295$15,000 Improved No
2010 Tax BIII Amount:
$1,024
CERTIFICATE OF TITLE 02/2011 07534 1518 $100 Improved No
WARRANTY DEED 01/1989 0 0047 $34,700 Improved Yes
2033
2010 Certified Taxable Value and Taxes
DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS
ADMINISTRATIVE DEED 03/1982 111382 0132 $11,100 Improved No
Find Comparable Sales within this Subdivision
LEGAL DESCRIPTION
LAND
Land Assess Method Frontage Depth Land Units Unit Price Land Value
PLATS: Pick... AV
FRONT FOOT 6 DEPTH 60 149 .000 210.00 $12.852
LEG LOT 10 + 1/2 OF VACD ST ON S BLK B FELLOWSHIP
ADD PS8PG3
Lidding
Sketch
Under construction
BUILDING INFORMATION
Bid Num Bid Type Year Bit Fixtures Base SF Gross SF
Living SF Ext Wall Bid Value
Est. Cost
New
1 SINGLE FAMILY 1956 3 809 1,419 929
CONC BLOCK $31,331 $49.146
Appendage i SqR ENCLOSED PORCH FINISHED / 120
Appendage / Sgft OPEN PORCH FINISHED/ 15
Appendage / SqR OPEN PORCH UNFINISHED / 12
Appendage i SqR UTILITY UNFINISHED / 15
Appendage / Sgft GARAGE UNFINISHED / 448
NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed porch Finished,Base Semi
Finshed
OTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax purposes.
11 you recently purchased a homesteaded property your nextyear's property tax will be based on JusdMarket value.
http://www.scpafl.org/web/re_web.seminole county_title?parcel=3019315170B000100&... 10/24/2011
GENERAL POWER OF ATTORNEY
1, GLORIA URIBE, residing at 416 Willow Avenue, Sanford, Florida 32771, hereby appoint my son RODRIGO
CARDONA of 416 Willow Avenue, Sanford„ Florida 32771, as my Attorney -in -Fact ("Agent").
1 hereby revoke any and all general powers of attorney and special powers of attorney that previously have been
signed by me.
My Agent shall have full power and authority to act on my behalf. This power and authority shall authorize my
Agent to manage and conduct all of my affairs and to exercise all of my legal rights and powers, including all rights
and powers that I may acquire in the future. My Agent's powers shall include, but not be limited to, the power to:
Open, maintain or close bank accounts (including, but not limited to checking accounts, savings accounts,
and certificates of deposit), brokerage accounts, and other similar accounts with financial institutions.
a. Conduct any business with any banking or financial institution with respect to any of my accounts,
including but not limited to, making deposits and withdrawals, obtaining bank statements, passbooks,
drafts, money orders, warrants, and certificates or vouchers payable to me by any person, firm,
corporation or political entity.
b. Perform any act necessary to deposit, negotiate, sell or transfer any note, security, or draft of the
United States of America, including U.S. Treasury Securities.
C. Have access to any safety deposit box that 1 might own, including its contents.
2. Sell, exchange, buy, invest, or reinvest any assets or property owned by me. Such assets or property may
include income producing or non -income producing assets and property.
3. Purchase and/or maintain insurance, including life insurance upon my life or the life of any other
appropriate person.
4. Take any and all legal steps necessary to collect any amount or debt owed to me, or to settle any claim,
whether made against me or asserted on my behalf against any other person or entity.
S. Enter into binding contracts on my behalf.
6. Exercise all stock rights on my behalf as my proxy, including all rights with respect to stocks, bonds,
debentures or other investments.
7. Maintain and/or operate any business that I may own.
8. Employ professional and business assistance as may be appropriate, including attorneys, accountants, and
real estate agents.
9. Sell, convey, lease, mortgage, manage, insure, improve, repair, or perform any other act with respect to any
of my property (now owned or later acquired) including, but not limited to, real estate and real estate
rights (including the right to remove tenants and to recover possession). This includes the right to sell or
encumber my homestead legally described as: Property address: 416 Willow Ave, Sanford, Florida 32771.
10. Prepare, sign, and file documents with any governmental body or agency, including but not limited to,
authorization to:
a. Prepare, sign and file income and other tax returns with federal, state, and local and other
governmental bodies.
b. Obtain information or documents from any government or its agencies, and negotiate, compromise, or
settle any matter with such government or agency (including tax matters).
C. Prepare applications, provide information, and perform any other act reasonably requested by any
government or its agencies in connection with governmental benefits (including military and social
security benefits).
This Power of Attorney shall be construed broadly as a General Power of Attorney. The listing of specific powers
is not intended to limit or restrict the general powers granted in this Power of Attorney in any manner.
Any power or authority granted to my Agent under this document shall be limited to the extent necessary to prevent
this Power of Attorney from causing (i) my income to be taxable to my Agent, (ii) my assets to be subject to a
general power of appointment by my Agent, and (iii) my Agent to have any incidents of ownership with respect to
any life insurance policies that I may own on the life of my Agent.
My Agent shall not be liable for any loss that results from a judgment error that was made in good faith. However,
my Agent shall be liable for willful misconduct or the failure to act in good faith while acting under the authority of
this Power of Attorney.
I authorize my Agent to indemnify and hold harmless any third party who accepts and acts under this document.
My Agent shall not be entitled to any compensation, during my lifetime or upon my death, for any services provided
as my Agent. My Agent shall be entitled to reimbursement of all reasonable expenses incurred in connection with
this Power of Attorney.
My Agent shall provide an accounting for all funds handled and all acts performed as my Agent, if I so request or
if such a request is made by any authorized personal representative or fiduciary acting on my behalf.
This Power of Attorney shall become effective immediately, shall not be affected by my disability or lack of mental
competence, and shall continue effective until my death; provided, however, that this Power may be revoked by me
at any time by providing written notice to my Agent.
Dated 0c -TO 8 C -Y— � at Sanford, Florida.
Signature:
GLORIA URIBE .
-2-
Signature
Signature
State of Florida
ss:
County of s 6 W% AJ 0 LE
Before me, a Notary Public (or justice of the peace) in and for said county, personally appeared the above named
GLORIA URIBE, jt L•.8 i R PON STAN "►Z g and
L11u &Eta AAA4 CEt.,e who acknowledged that they
did sign the foregoing instrument, and that the same is their free act and deed. ,
In testimony whereof, I have
hereunto subscribed my name at ALTAA&o^nt 6?k N �) r FL this ' -y _ day of
Public
;20• �,; AUGUS70 S. FERREIRA
Notary Put`lip - Slate of Florida
y• •oma; My Comm. Expires Jan 24, 2014
"V, Commission # DD 954916
-3-
This Summary is not an official part of your document. It contains highlights of the important information that has
been entered into the document.
SUMMARY
of the
GENERAL POWER OF ATTORNEY
DATE SIGNED: M-ro 3 Cha 2 `1,—fl 11
GRANTOR
GLORIA URIBE
AGENT
RODRIGO CARDONA
This Power of Attorney shall become effective:
immediately
and shall be effective until my death
November 2, 2011
City of Sanford
300 N. Park Ave.
Sanford, FL 32771
Reference: Re -Roof Torch Down
Permit #12-151
416 Willow Ave.
Sanford, FL 32771
To Whom It May Concern:
LINNEngineering
Consultants
P.O. Boz 140024.Orlando, FL 32804
Phone: 407-252-6433 - Fax: 407-392-2776
e�_�L I.- �' __
hl& 12,16-1
Based on my inspection of the re -roof torch down at the above referenced locations is in
substantial compliance with the manufactures specifications and in accordance with the Florida
Building Code and the City of Sanford Building Code.
Please contact me if you have any questions or concerns.
Thanks,
Chad S. Linn, P:E.
P.E. #57524