HomeMy WebLinkAbout1015 S Holly Ave (3)w
CITY OF SANFORD PERMIT APPLICATION
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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