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HomeMy WebLinkAbout1801 Palm Way (2)i CITY OF SANFORD PERMIT APPLICATION Application #: Cao ')— 37 Job Address• (IT,(, Parcel ID' Zoning: Description of Work: rC9ot re Wck-r Submittal Date: tl✓J �L/ %G Value of Work: $ 00 c� Historic District: Square Footage: Permit Type: Building A' 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 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 ) ...................;......................................................:............................................. Property Owner: y \ af, � n rn Contractor: Address: 1 Q �'t-«�(`(� Address: Phone: �Q r-9 %a • TWE -mail: Phone: State License Number: Bonding Company: Address Arch itect/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 die 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. 11 Acceptance of penni i eri tion that I 'i noti the owner of the prropertrt of the requirements of Florida Lien Law, FS 713. ore o Owner/ gent Date Signature of Contractor/Agent Date Print Owner/AgCnt's Name t "taF9-c�PY1oI NgDuot7��" �I(Y�t My COMMI Febr25.2011uary 1 puce. Co. FI. Notary- isA^�y� Owner/Agent is 1 PgrsLally�CT/l tq Mor Produced ID 1:7-0,/ APPROVALS: ZONING: Special Conditions: Rev 02/2007 Print Contractor/Agent's Name Date Signature of Notary -State of Florida Date Contractor/Agent is Personally Known to Me or Produced ID UTIL: FD: ENG: BLDG: �� I 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: I q I, J�cAaLln& do hereby state that I am qualified and capable of performing the requeste onstruction involved with the permit application filed. Signature Date Form of Identification Fl� L eV -0 I t 31 D (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 Ii c n ued. ���_:,i,�'�, (Rev. 4/20/07) MY COMM: Fe r a�pp62011 s Exr: Fl. N zs, zo:: ov �� FI. Notuy Discount Assoc. Co. I,gq}}.NOTARY I UNDERSTAND AND AGREE TO THE EXEMPTION PROVISIONS OF FLORIDA STATUTES 489.103 AS LISTED ABOVE. E 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 q I, J�cAaLln& do hereby state that I am qualified and capable of performing the requeste onstruction involved with the permit application filed. Signature Date Form of Identification Fl� L eV -0 I t 31 D (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 Ii c n ued. ���_:,i,�'�, (Rev. 4/20/07) MY COMM: Fe r a�pp62011 s Exr: Fl. N zs, zo:: ov �� FI. Notuy Discount Assoc. Co. I,gq}}.NOTARY Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1 ... /re_web.seminole_county_title?parcel=31193150300000010&cpad=palm&cpad_num=1801 &6/4/2007 r 17 �19 '<'0 21 22 23 24 31 DAVID JOHNSON, CFA, ASA 1i 1 0- I 1 0 102 0�2 02 02 - PROPERTY ° APPRAISER SEMINOLE COUNTY FL. 1101 E. FIRST sT 1 P SANFORD, FL32771-]466 2 P - 407-665-7506 2 2007 WORKING VALUE SUMMARY GENERAL Value Method: Market Parcel Id: 31-19-31-503-0000-0010 Number of Buildings: 1 Owner: RANSOM KATRINA Depreciated Bldg Value: $72,822 Mailing Address: 1801 PALM WAY Depreciated EXFT Value: $0 City,State,ZipCode: SANFORD FL 32771 Land Value (Market): $26,412 Property Address: 1801 PALM WAY SANFORD 32771 Land Value Ag: $0 Subdivision Name: BEL -AIR REPLAT Just/Market Value: $99,234 Tax District: S1-SANFORD Assessed Value (SOH): $52,506 Exemptions: 00 -HOMESTEAD (2001) Exempt Value: $25,000 Dor: 01 -SINGLE FAMILY Taxable Value: $27,506 Tax Estimator 2006 VALUE SUMMARY SALES Tax Amount(without SOH): $1,265 Deed Date Book Page Amount Vac/Imp Qualified 2006 Tax Bill Amount: $516 WARRANTY DEED 02/2000 03809 1584 $59,000 Improved Yes Save Our Homes (SOH) Savings: $749 2006 Taxable Value: $26,225 Find Comparable Sales within this Subdivision DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS LAND LEGAL DESCRIPTION Land Assess Method Frontage Depth Land Unit Land Pick Units Price Value PLATS: FRONT FOOT & 80 125 .000 355.00 $26,412 LEG LOT 1 BEL -AIR REPLAT PB 9 PG 83 DEPTH BUILDING INFORMATION Bid Num Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost New 1 SINGLE 1955 3 977 1,487 977 CONC $72,822 $107,885 FAMILY BOCK Appendage / Sgft UTILITY UNFINISHED / 72 Appendage / Sgft CARPORT UNFINISHED / 264 Appendage / Sgft OPEN PORCH FINISHED / 48 Appendage / Sgft ENCLOSED PORCH UNFINISHED / 126 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 JustlMarket value. ... /re_web.seminole_county_title?parcel=31193150300000010&cpad=palm&cpad_num=1801 &6/4/2007 NOTICE OF COMMENCEMENT Permit No. Parcel ID: 03-0001-0010 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. 9 Description of property: 31 if 111111 fit Ill F 0 I I 111111111111Ili 0 k III W1t 111118!1 MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY BK (A713 Pq 1702; 41pg3 CLERKI S # 24:07081336 RECORDED 06/04/207 08.-51:52 AM RECORDING FEES W.00 RECORDED BY T 5oith THIS IN<STRU"iicNT PREPARED D; ; ADDR. r a. Interest in property _(`-,c b. Name and address of fee simple titleholder (if other than Owner) 4. Contractor Name and address: 5. Surety a. Name and address b. Amount of bond 6. Lender Name and address: 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 8. In addition to himself or herself, Owner designates 713.13(1)(b), Florida Statutes. of to receive a copy of the Lienor's Notice as provided in Section 9. Expiration date of notice of commencement (the expiration date is I year from the d e , record unless a different date is specified) Signature of Owner Hyl Sworn, to (or affirmed) d subscribed before me this �_ day of 20 �� 9 by 4!_Ir, [L 8 1 Li 0 COQ - Personally Known or Produced Identificatio%n� Type of Identification Produced �� �-- �-°�`-x� • .�.�,.,� CANTON . 'DEBBIE B n[ Y PU" D6 MY COMMISSION # D 2909Q 201 l FebruaTY 25, /%' �% 1 �/ t Ass-. Co. Signature of Notary Public, Stat�of orida N°TA>zY F� Naari�s-un SSM tGK Commission Expires: