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HomeMy WebLinkAbout101 W 9 St (6)CITY OF SANFORD PERMIT APPLICATION Application #t : (�� — a� 0 `t' �, / Submittal Date: ©7 Z 5,6 % Job Address: O 9 �" - Value of Work: $ `7 U Parcel [D: 1 1 Zoning: ,?Hi is District: Description of Work: reS'•den �4� Mf,�41 rf_—cacF� Square Footage: ..: .................................................................. ... ..................... ................. Permit Type: Building Electrical ❑ Mechanical ❑ Plumbing ❑ •l=ire Sprinkler/Alarm 11Pool ❑ Sign ❑ Electrical: New Service — # of AMPS Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑ Mechanical: Residential ❑ Non -Residential ❑ Replacement ❑ New ❑ (Duct Layout & Energy Calc. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential ❑ Commercial ❑ Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑ Occupancy Use Group(s): Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required ) P_r_operty-Owner. Rter •Srn r C G\ Gh Contractor: Ad o +h Address: _ess r L 1 =Phos :'ZL o 3 363mait: Phone: State License Number: Bonding Company: Mortgage Lender: Address: Arch itect/Engineer: Address Plan Review Contact Person: Address: Phone: Fax: Phone: Fax: E-mail: 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. 1 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 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. ,cceptance of permit is v ificatton that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. i _ 2 _G of Owner/Agent Date Signature of Contractor/Agent Date YYI \ r, C'L GVI.z er/Agent's Nalpe Print Contractor/Agent's Name Suture of Notary -State Owner/Agent is Pec _ Produced IDS__"� S �lp APPROVALS: ZONING: Special Conditions: Rev 07.07 ( 25.®7 ofFlor\\�������V,,Date t3ually knon,g. It�e�°r ° • Q = FD: Signature of Notary -State of Florida Date Contractor/Agent is Produced ID Personally Known to Me or ENG: BLDG: 55 . CXR 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 FSS 489.103 Disclosure Statement State Law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct, onsite supervision of the construction yourself. You may build or improve a one -family or two-family residence or a farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $75,000. The building or residence must be for your own use or occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a building you have built or substantially improved yourself within 1 year after the construction is complete, the law will presume that you built or substantially improved it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervision work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement) Property Address: L, �YY%\ 1<C\ GVH do hereby state that I am qualified and capable of ing the requested constrpcti9gJnvolved with the permit application filed. r NI�;:I JIvh a Form of Identification (Must be Photo ID) Ei 0 .„ y . #IA ),)W, 1 8 „ Q A violation of this exemption is a misdemeanor of the fieis� eopunrs i l iy a term of imprisonment not exceeding 1 year and a $1,000.00 fine in addition to ani 1 P14 alt idition, the local permitting jurisdiction shall withhold final approval, revoke the permt'iction or remedy for unlicensed activity against the owner and any person performing work thTret ines`licensure under the permit issued. (Rev. 4/20/07) I UNDERSTAND AND AGREE TO THE EXEMPTION PROVISIONS OF FLORIDA STATUTES 489.103 AS LISTED ABOVE. I HAVE ACCESS TO THE ADOPTED CODES. I AM FAMILIAR WITH THE CODE PROVISIONS. i I HAVE ADEQUATE KNOWLEDGE AND QUALIFICATIONS TO SAFELY PERFORM AND DIRECTLY SUPERVISE THE WORK. THIS PROPERTY IS NOT AN APARTMENT, CONDOMINIUM OR RENTAL PROPERTY. THIS STRUCTURE IS NOT BEING BUILT WITH MY INTENTION TO SELL, RENT, OR LEASE. I UNDERSTAND THAT THERE IS NOT STATED A TIME FRAME TO SELL, RENT OR LEASE AN OWNER BUILDER STRUCTURE WITHOUT BEING INVESTIGATED. I UNDERSTAND THAT FOR ANY UN -LICENSED PERSON I HIRE, I MUST DEDUCT F.I.C.A., WITHHOLDING TAX, AND PROVIDE WORKERS' COMPENSATION INSURANCE. Property Address: L, �YY%\ 1<C\ GVH do hereby state that I am qualified and capable of ing the requested constrpcti9gJnvolved with the permit application filed. r NI�;:I JIvh a Form of Identification (Must be Photo ID) Ei 0 .„ y . #IA ),)W, 1 8 „ Q A violation of this exemption is a misdemeanor of the fieis� eopunrs i l iy a term of imprisonment not exceeding 1 year and a $1,000.00 fine in addition to ani 1 P14 alt idition, the local permitting jurisdiction shall withhold final approval, revoke the permt'iction or remedy for unlicensed activity against the owner and any person performing work thTret ines`licensure under the permit issued. (Rev. 4/20/07) _—I CITY OF SANFORD HISTORIC PRESERVATION BOARD APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS P.O. Box 1788, Sanford, FL 32772-1788 Phone: 407.302.5805 Fax: 407.330.5679 TO: THE HISTORIC PRESERVATION BOARD OF THE CITY OF SANFORD, FLORIDA 0 Downtown Commercial Historic District ❑ Residential Historic District ❑ This application is filed in response to a notice from the Code Enforcement Department ADDRESS OF PROPERTY: 101 v �. -`-�n.Dr•c �2j 2 - Signature: Signature: Print Name: D rCi C� Mailing Address: 10 Phone: 2 o 3 - 3� 33 _ Fax: Applicant/A ent _ Signature: Print Name: Mailing Address: Phone: Fax: I certify tha all info ati n conta' is applic tion is true nd accurate to the best of my knowledge. Applicant/Own Date: - Z _Cj Please use the attached criteria checklis a guide to completing the application. Incomplete applicatio s cannot be reviewed and will be returned to you for more information. You are encouraged to contact the preservation planner at 407-330-5672 to make sure your application is complete. Description of Proposed Work/Application Category: (Check all that apply) ❑ Site Improvements/driveway/walkway ❑ Storage shed ❑ Moving structures ❑ Replacement windows or doors ❑ Underskirting ❑ Awnings ❑ New construction/additions ❑ Signs ❑ Demolition Roofs/gutters/downspouts ❑ AC/Mechanical ❑ Fences/Gates/Pergolas ❑ Replacement siding/flooring/porch ❑ Paint ❑ Other Completely describe the entire scope of work: all changes in material, color or location to the exterior of the building, where on the property the work will occur and how the work will be accomplished. For large projects, an itemized list is re mended. AttW ad itional pages if necessary. 11 1 vac Q-'Ayk r� �e r a a cP— X Y) a� CT -Z-1)& 5 LA -U) A Certificate of Appropriateness is valid for six months unless otherwise noted Historic Preservation Board Meeting D Application is Approved Conditions: Signed: OFFICIAL USE ONLY Staff Review Date: Approved with Conditions Denied Date: % , �c� 4r 'This Certificate must be prominently displayed on the building when work is in progress— Requirements for Certificate of Appropriateness Application Seminole County Property Appraiser Get Information by Parcel Number Pagel of 2 FARC L DETWI , DAviD JoHnisoN;.CFA, ASA PROPERTY P �� ��. `ISER �;� ,. •-: qtr ; � SEMINOLE OOU'MTY.'F L_ Al. 1:'101 E. FIRST�ST 9AHF03i0 FL 327'71-1468 4A7-865;`7508 2007 WORKING VALUE SUMMARY GENERAL Value Method: Market Number of Buildings: 1 Parcel Id: 25-19-30-5AG-1104-001 A Depreciated Bldg Value: $126,125 Owner: SMIRCICH PETER &SALLY Depreciated EXFT Value: $1,086 Mailing Address: 101 W 9TH ST Land Value (Market): $20,452 City,State,ZipCode: SANFORD FL 32771 Land Value Ag: $0 Property Address: 101 9TH ST W SANFORD 32771 Just/Market Value: $147,663 Subdivision Name: SANFORD TOWN OF Assessed Value (SOH): $97,347 Tax District: S1-SANFORD Exempt Value: $25,000 Exemptions: 00 -HOMESTEAD (2004) Taxable Value: $72,347 Dor: 0102 -SINGLE FAMILY - SANF Tax Estimator Tax Reform Analysis SALES Deed Date Book Page Amount Vac/Imp Qualified SPECIAL 06/2007 06746 0881 $150,000 Improved No WARRANTY DEED 2006 VALUE SUMMARY CERTIFICATE OF TITLE 01/2007 06556 1017 $100 Improved No Tax Amount(without SOH): $2,243 WARRANTY DEED 12/2006 06536 0387 $100 Improved No 2006 Tax Bill Amount. $1,377 WARRANTY DEED 07/2003 04957 0975 $130,000 Improved Yes Save Our Homes (SOS Savings: $866 WARRANTY DEED 11/1999 03768 1813 $51,000 Improved Yes 2006 Taxable Value: $69,973 PROBATE DOES NOT INCLUDE NON -AD VALOREM RECORDS 02/1999 03608 0359 $100 Improved No ASSESSMENTS WARRANTY DEED 11/1995 03009 0424 $100 Improved No WARRANTY DEED 08/1981 01351 0222 $10,000 Improved No Find Comparable Sales within this Subdivision LAND IN LEGAL DESCRIPTION Land Assess Land Unit Land Frontage Depth PLATS: Pick Ll Method Units Price Value 67 FTOF E 57 FTOF LOT 1 BLK11 TR4 FRONT FOOT & 57 67 .000 460.00 $20,452 TOWN OF SANFORD DEPTH PB 1 PG 59 BUILDING INFORMATION Bid Num Bld Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost New 1 SINGLE 1901 6 564 1,263 1,151 SIDING AVG $126,125 $141,714 FAMILY Appendage /'Sgft OPEN PORCH FINISHED / 112 Appendage / Sgft UPPER STORY FINISHED / 587 NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished,Base Semi Finshed Permits EXTRA FEATURE http://www.scpafl.org/web/re web.seminole_county_title?parcel=2519305AG1104001A&... 7/25/2007 NOTICE OF COMMENCEMENT Permit No. d Parcel ID: ` �tCr 0) - S G ri 10L�.T on I A 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. 1. Description of property: (legal description of the property and street address if, available) 6t'r�G I-- 7, Z27/ IIIII111111IIINIIINiII�IOIIIIi��INI��I��IN11 NARYANNE KORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY 8K 06768 pg 1605; (1pg) CLERKI S # 2007108069 RECORDED 07/215/,007 10:33iQ AN RECORDING FEES 10.00 RECORDED BY T CERTIFIED..CQPY MARYPNNE MORSE CLERK OF CIRCUIT COURT SEMIA(e tGUNTY' FLORIDA 2. General description of improvement:rP Ve- A ti( Anne— H t _3. Owner Information a. Name and address: e�c> r �� c �� ( U L W q f�, 7I� f b. Interest in property: o N 1n2r — c. Name and address of fee simple titleholder (if other than owner) — 4. Contractor a. Name and address: QU+ i— b. Phone Number: 5. Surety a. Name and address: b. Amount of bond $ c. Phone Number: 6. Lender a. Name and address: b. Phone Number: 7. 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: a. Name and address: b. Phone Number: 8. In addition to himself or herself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1) (b), Florida Statutes: a. Name and address: b. Phone Number: 9. Expiration date of notice of commencement (the expiration date is I 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 NOTINCE 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 LENDER OR AN ATTORNEY B RE COMMENCING WORK OR RECORDING YOUR NOTIC F 0 ME ENT. ��� IN:;TRUMENT PREPARED BY; NAME a gnature o caner or Own is Authorized '"" ' Officer/Director/Partner/Manager ADDR. _ !�f v1r Ws- -- _L01 >� -7Z7�� Signatory's Title/Office The e foregoing instrument of person) \\�\` ��I��1P1ie, A��/ e this �y �:i L, day of �' (ty y, 20 gffiby PefP y� e of authority e. officer, trustee, attorney in fact) for ���� �/� (name of party on behalf of whom instrument was executed). 20 Al a Signature of Notary Public, Staff 4'oAda 02 c'c Commission Expires: = �' ��` �JZz ,o� yy N` 411 i,////''/Y��4,9y PUBO l