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HomeMy WebLinkAbout105 Sanora Blvd (3)4 CITY OF SANFORD PERMIT APPLICATION Application # : o2 SCS) J \\tt Job Address: Q5 �20�,V� c Parcel ID: Description of Work: _ e- Kon Zoning: Submittal Date: C L • 2 t (1-7 Value of Work: $Z Historic District: Square Footage: ............................................................. Permit Type: Building 1 Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/.Alarm ❑ Pool ❑ 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 Sign ❑ 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 .......................1..........................(.�....................................................................... Property Owner: Z ArA 1 \ Contractor: Address: `n5l, . pml1 � Q�9"3) Address: Phone:(11015�-mail:1 C V f) QPhone: State License Number: Bonding Company: belksodt%ft. Re -t- Mortgage Lender: Address: Architect/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. 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 10B 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. of peinit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. :�ure of Owner/ P Owner/Agent's Sienature of otary-; tN\`V, • • fi w • / I 4,,rni Siti;4. j Cr , P / G �iy 75 �� 0 Owner/Agents rso11b[ra3owrit M c>� D -4--17M ` 2,. Lin : 7r APPROVALS: ZONING: Special Conditions: Rev 07.07 7 Signature of Contractor/Agent Date Print Contractor/Agent's Name Date Signature of Notary -State of Florida Date Contractor/Agent is _ _ Produced ID FD: ENG: Personally Known to Me or BLDG: 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. BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement) Property Address: t O,5 SPa� Q?. i41 E;LL ) ,pjtv �ZQP:3> FL 32-97S I, -, )u V�rN r I rihK I M' *l\i do hereby state that I am qualified and capable of performing The reque onstructi involved with the permit application filed. 2,1[0] Signature Date ntification (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) 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 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: t O,5 SPa� Q?. i41 E;LL ) ,pjtv �ZQP:3> FL 32-97S I, -, )u V�rN r I rihK I M' *l\i do hereby state that I am qualified and capable of performing The reque onstructi involved with the permit application filed. 2,1[0] Signature Date ntification (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) Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 2 ./re_web.seminole_county_title?parcel=0720315050G0000I O&cpad=sanora8,6/29/2007 9A O"iD JOHmsom, CFA, ASA 3"RA&V °BLOCK saeI.a_ ^� PROPERTY A i BLM G' APPRAISER _ SEMINOLE COUNTY FL. 1101E. FIRST 6T &AKFORD, FL 3 2771-1 468 407-665-7506 2007 WORKING VALUE SUMMARY GENERAL Value Method: Market Parcel Id: 07-20-31-505-OG00-0010 Number of Buildings: 1 Owner: HARTMAN JUDITH M & J MICHAEL Depreciated Bldg Value: $134,466 Mailing Address: 105 SANORA BLVD Depreciated EXFT Value: $1,474 City,State,ZipCode: SANFORD FL 32773 Land Value (Market): $34,000 Property Address: 105 SANORA BLVD SANFORD 32773 Land Value Ag: $0 Subdivision Name: SANORA UNITS 1 AND 2 REPLAT Just/Market Value: $169,940 Tax District: S1-SANFORD Assessed Value (SOH): $81,943 Exemptions: 00 -HOMESTEAD (1994) Exempt Value: $25,000 Dor: 01 -SINGLE FAMILY Taxable Value: $56,943 Tax Estimator SALES 2006 VALUE SUMMARY Deed Date Book Page Amount Vac/Imp Qualified Tax Amount(without SOH): $2,371 QUIT CLAIM DEED 05/1996 03087 1740 $10,300 Improved No 2006 Tax Bill Amount: $1,082 QUITCLAIM DEED 06/1987 01858 1829 $11,000 Improved No Save Our Homes (SOH) Savings: $1,289 WARRANTY DEED 01/1975 01073 0684 $40,800 Improved Yes 2006 Taxable Value: $54,944 WARRANTY DEED 01/1974 01041 1106 $36,900 Improved No DOES NOT INCLUDE NON -AD VALOREM Find Comparable Sales within this Subdivision ASSESSMENTS LAND LEGAL DESCRIPTION Land Assess Land Unit Land PLATS: Pick... - Method Frontage Depth Units Price Value LEG LOT 1 BLK G SANORA UNITS 1 + 2 LOT 0 0 1.000 34,000.00 $34,000 REPLAT PB 17 PG 11 BUILDING INFORMATION Bid Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost New Num 1 SINGLE 1972 6 1,648 2,329 1,648 BLOCK ONC $134,466 $160,556 FAMILY Appendage / Sgft OPEN PORCH FINISHED / 72 Appendage I Sqft GARAGE FINISHED/ 483 Appendage / Sgft UTILITY FINISHED / 126 NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished,Base Semi Finshed Permits EXTRA FEATURE Description Year Bit Units EXFT Value Est. Cost New STUCCO WALL 1972 546 $874 $2,184 FIREPLACE 1972 1 $600 $1,500 ./re_web.seminole_county_title?parcel=0720315050G0000I O&cpad=sanora8,6/29/2007 NOTICE OF COMMENCEMENT Permit No. Parcel ID: n — (�— — SOS -b Od—OUI O 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 olf�the property and street address if available) \ pC; 9 � Ao 1J 2. General description of improvement: L r L., 1'1 r, N I di 3. Owner Information 11,1 [ n a. Name and address: b. Interest in property: c. Name and address of fee simple titleholder (if other than owner) 11II1ifIll 11Ill IIIll 11Ill 11Ill I!ill 11Ill liIll IiIll IIIli11111 MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY AK 06744 Pg 10781 (1pg) CLERK' S # 20070959-32 RECORDED 06/29/2007 01:18:26 Ph RECORDING BEES 10.& RECORDED BY H Dehr�e '" 227a 4. Contractor a. Name and address: 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 7 13.l3(I )(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 l 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 R R OR A ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF C M Sign ture of Owner r Owner's Authorized Offic r/Director/Pai ner/Manager Signatory's Title/Office \111111 I I 111 i/ � C The foregoing instrument was acknowledged bef\�i�\%h��y of 20 by jn� ,yt 11A� MAv� (name of person) as �. (type of authority ...e.g. offE, icer, trustee, attorney in fact) for • .p U'Uame la - on behalf of whom instrument was executed). Signature of Notary Public, State of Florida o Commission Expires: Z N�� THIS INSTRUMENT PREPARED BYs NAPA E Vff�`D ADDR. _5_51 l— D _ F�_ 52M