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HomeMy WebLinkAbout119 W 19 StCITY OF SANFORD PERMIT APPLICATION Application # : ® -" 2 4 38 Submittal Date: .2- — f5 7 et%lldZ—� Job Address: / S�' Value of Work: $ Parcel ID: Zoning: Historic District: H 0 Description of Work:. LAO_Y f–A Cfe-- 4—Q-.1 el— Square Footage: 3 00 ....................................................................................................................... Permit Type: Building ❑ Electrical Mechanical El Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑ Electrical: New Service – # of AMPS oQ0 O 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 ❑ IndustriaI ❑ Occupancy Use Group(s): Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required) ...................................................................................................................... Property Owner: • •4� M fj-V'�' I f [2 Z_ Contractor: Address: // Lf,)/ S f Address: ,g 4.X.�, D 71 O/o Aone:Q.� 3-5) 9 E-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. .1 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 of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. ignature of 9kmerha4int Y Date Signature of Contractor/Agent Vee_r- It o /Z P -Apt Owner/Agen 's {game Print Contractor/Agent's Name APPROVAL9:i 0: Special Conditions: Rev 02/2007 i 2 ,ol Date vn to Me or s z l—s s 31�q o UTIL: _ FD: Date Signature of Notary -State of Florida Date Contractor/Agent is _ Personally Known to Me or _ Produced ID ENG: BLDG: f g5.00 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: /I It / 7 S :3,4 to 40 V" cf L-' I '3,. 7 7/ I, �-+rY- t V ` 'e- V �P— d do hereby state that I am qualified and capable of performing the reqbested construction involved with the permit application filed. CS-L,-1K� igna P. ; �` ; fij Date c of Ic er1'�1 i'atioi G (Must be Photo ID) J dation a tf3s p%mption is a misdemeanor of the first degree punishable by a term of imprisonment not �ex�cecd%n$1hyoaYa a $1,000.00 fine in addition to any civil penalties. In addition, the local permitting juf(sf typrrr sFr lk i►�*old final approval, revoke the permit, or pursue any action or remedy for unlicensed activ'rty/j itlist, %wner 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 Address: /I It / 7 S :3,4 to 40 V" cf L-' I '3,. 7 7/ I, �-+rY- t V ` 'e- V �P— d do hereby state that I am qualified and capable of performing the reqbested construction involved with the permit application filed. CS-L,-1K� igna P. ; �` ; fij Date c of Ic er1'�1 i'atioi G (Must be Photo ID) J dation a tf3s p%mption is a misdemeanor of the first degree punishable by a term of imprisonment not �ex�cecd%n$1hyoaYa a $1,000.00 fine in addition to any civil penalties. In addition, the local permitting juf(sf typrrr sFr lk i►�*old final approval, revoke the permit, or pursue any action or remedy for unlicensed activ'rty/j itlist, %wner 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 1 Ai, iso no�80 0 so h �T1Tm I I I I� JL - DAVID JOHNSON, CFA, ASA r�'A PROPEPROPERTY RTY 127,0 L_„a�„aa,z,o-'12.0 :o APPRAISER I I.c�I ,moo 0 SEMINOLE COUNTY FL. TT!T� au�s� rn 1101E. FIRST sT SANFORD, FL 32771.1468 407-665-7506 2007 WORKING VALUE SUMMARY GENERAL Value Method: Market Parcel Id: 36-19-30-506-0000-1240 Number of Buildings: 1 Owner: MEYERHOLZ LARRY & MOLLY Depreciated Bldg Value: $98,554 Mailing Address: 119 W 19TH ST Depreciated EXFT Value: $1,200 City,State,ZipCode: SANFORD FL 32771 Land Value (Market): $23,175 Property Address: 119 19TH ST W SANFORD 32771 Land Value Ag: $0 Subdivision Name: SANFORD HEIGHTS Just/Market Value: $122,929 Tax District: S1-SANFORD Assessed Value (SOH): $106,267 Exemptions: 00 -HOMESTEAD (2006) Exempt Value: $25,000 Dor: 01 -SINGLE FAMILY Taxable Value: $81,267 Tax Estimator SALES 2006 VALUE SUMMARY Deed Date Book Page Amount Vac/Imp Qualified Tax Amount(without SOH): $1,549 WARRANTY DEED 02/2005 05610 0131 $105,000 Improved Yes 2006 Tax Bill Amount: $1,549 WARRANTY DEED 07/1996 03111 1338 $100 Improved No Save Our Homes (SOH) Savings: $0 WARRANTY DEED 01/1973 00964 1583 $14,500 Improved Yes 2006 Taxable Value: $78,675 DOES NOT INCLUDE NON -AD VALOREM Find Comparable Sales within this Subdivision ASSESSMENTS LAND LEGAL DESCRIPTION Land Assess Method Frontage Depth Land Unit Land Pick... 7 - Units Price Value PLATS: FRONT FOOT & 50 154 450.00 $23,175 LEG LOT 124 SANFORD HEIGHTS PB 2 PG .000 DEPTH1 63 BUILDING INFORMATION Bid Num Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost New 1 SINGLE 1930 6 1,260 1,684 1,260 SIDING AVG $98,554 $135,005 FAMILY Appendage / Sgft OPEN PORCH FINISHED / 184 Appendage / Sgft ENCLOSED PORCH UNFINISHED / 160 Appendage / Sgft SCREEN PORCH UNFINISHED / 80 NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished,Base Semi Finshed EXTRA FEATURE Description Year Bit Units EXFT Value Est. Cost New FIREPLACE 1930 2 $1,200 $3,000 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. ... /re_web. seminole_county_title?parcel=36193050600001240&cpad=19th&cr6/ 12/2007