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Home My WebLink About1015 S Holly Avew CITY OF SANFORD PERMIT APPLICATION tr Q Application # : v h _0g,5 0 Submittal Date: V �� Job Address: [ J v4ug_ Value of Work: $ Parcel ID' 1 Zoning: _ Description of Work: � �w �d t Historic District: Square Footage: ..................................................................................................................... Permit Type: Building 4 Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ 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 Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑ Construction Type: # of Stories: # of Dwelling Units: Plumbing Repair— Residential ❑ Commercial ❑ Occupancy Use Group(s): Flood Zone: (FEMA form required) •PropertyOwner.....�.0 f��y.. �i n�,�,,�-5..................Contractor............................................. Address:/ 01 � // S • SIO ( � t ( Y Address: la- 3 27-7 Phone(3Va) '-7 _ l mail: Phone: State License Number: Bonding Company: Address: Architect/Engineer: Address: Plan Review Contact Person: Mortgage Lender: 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. 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. 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 permit is verification that will notify the owner of the property of the requirements of Florida Lien Law, FS 713. ,A 41A Signature of /Agent j Date Signature of Contractor/Agent 1 Print Owner/Agent' ame Print Contractor/Agent's Name .�.o1 nature ofNotary-State,of F rida Date Signature of Notary -State of Florida JOHNSON ^! f DD 285622 sq 23.2008 ci'r IC?c 0er/Agent is _ Personally Known to Me or Produced ID 1;!Vp 1.,. APPROVALS: ZONING: Special Conditions: Rev 02/2007 UTIL: FD: Date Date Contractor/Agent is Personally Known to Me or Produced ID ENG: BLDG: 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. BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement) Property Add I, -% ),, do hereby state that I am qualified and capable of performing the reque ed construction involved with the permit application filed. 4� / I / 16� Dat Form of Identification Ylo y --J& J)L (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. 4/20/07) 1 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 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 Add I, -% ),, do hereby state that I am qualified and capable of performing the reque ed construction involved with the permit application filed. 4� / I / 16� Dat Form of Identification Ylo y --J& J)L (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. 4/20/07) Srminole County Property Appraiser Get Information by Parcel Number Page 1 of 1 FAi, DETAIL DAVID JOHA90M„CFA, ASA PROPERTY MP ISER S'EMINOLE OOu'NTY,Fi— °2 r r a..,.. _1 , 1't01 E.F1iS+,Sr 9AKFOR0,. FL 32771-1468. 407-665-7508 2007 WORKING VALUE SUMMARY GENERAL Value Method: Market Parcel Id: 25-19-30-5AG-1210-0090 Number of Buildings: 1 Owner: MC FAYDEN ARIZONA & MC FAYDEN Depreciated Bldg Value: $39,955 Own/Addy: ROBERT & LITTLES DOROTHY ET AL Depreciated EXFT Value: $0 Mailing Address: 1015 HOLLY AVE Land Value (Market): $14,625 City,State,ZipCode: SANFORD FL 32771 Property Address: 1015 HOLLY AVE SANFORD 32771 Land Value Ag: $0 Just/Market Value: $54,580 Subdivision Name: SANFORD TOWN OF Assessed Value (SOH): $54,580 Tax District: S1-SANFORD Exempt Value: $0 Exemptions: Taxable Value: $54,580 Dor: 01 -SINGLE FAMILY Tax Estimator SALES Deed Date Book Page Amount Vac/Imp Qualified 2006 VALUE SUMMARY QUIT CLAIM DEED 11/2005 05988 0488 $100 Improved No 2006 Tax Bill Amount: $862 PROBATE 07/2000 03886 1868 $100 Improved No RECORDS 2006 Taxable Value: $43,792 PROBATE DOES NOT INCLUDE NON -AD VALOREM RECORDS 12/1999 03774 0466 $100 Improved No ASSESSMENTS Find Comparable Sales within this Subdivision LAND LEGAL DESCRIPTION Land Assess Frontage Depth Land Unit Land PLATS: Pick... Method Units Price Value FRONT FOOT & LEG LOT 9 BLK 12 TR 10 TOWN OF .., 45 117 000 32500 $14625 DEPTH SANFORD PB 1 PG 57 BUILDING INFORMATION Bid Num Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost New 1 SINGLE 1920 3 1,323 1,874 1,323 SIDING AVG $39,955 $99,887 FAMILY Appendage / Sgft UTILITY UNFINISHED / 144 Appendage / Sgft ENCLOSED PORCH UNFINISHED / 252 Appendage / Sgft SCREEN PORCH UNFINISHED / 155 NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished,Base Semi Finshed Permits NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax purposes. *** If you recently purchased a homesteaded property your next ear's property tax will be based on Just/Market value. http://www.scpafl.org/web/re_web.seminole_county_title?parcel=2519305AG 12100090&c... 6/l/2007