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HomeMy WebLinkAbout1934 W 15 Stl ^ CITY OF SANFORD PERMIT APPLICATION Application # : a�— a� �`✓ / ` Submittal Date: PT r2 -O, 01 Job Address: ,�T 6 t, J�/� Lae Value of Work: $ `L R o a Parcel[D: Description of Work: AUU T 1-t ......................../......... Zoning: Permit Type: Building Electrical ❑ Electrical New Service — # of AMPS Historic District: Square Footage: Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑ 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 ater Closets Occupancy Type: Residential ICommercial ❑ Industrial ❑ Construction Type: # of Stories: # of Dwelling Units Plumbing Repair — Residential ❑ Commercial ❑ Occupancy Use Group(s): Flood Zone: (FEMA form required ) ........................................................................................................................ Property owner: GG Contractor: Address: soy T� Address: Phone: Q 3 5E -mail: Bonding Company: Address Architect/Engineer: Address: Plan Review Contact Person: Phone: State License Number: 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, 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 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. cceptance o rmrt is ve ification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. -0 Sign ureofOwner/ ent Date Signature of Contractor/Agent Date Lig.nature gent's Na Print Contractor/Agent's Name otary-Stat of Florida Signature of Notary -State of Florida Date �. �N'SS'OA; • o O aty 16 Owner/Agent is _ Personally Kt2vy}tb Me'or� o _ Contractor/Agent is Personally Known to Me or _ Produced ID ., * -., _ Produced ID 507298 APPROVALS: ZONING '1 'O m, -j� • • �� ENG: BLDG: Special Conditions: Rev 07.07 e� ��'15 .. ---I 4Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1 FARCEL DETAIL D"iD.toHNsoN; CFA, ASA PROPERTY l 30 i ,' ffiER O¢¢NTY F1 SE MINOLEt, - 1101E .FIRST ST SANFOliD, FLa=1-1468 407-69775W 2007 WORKING VALUE SUMMARY GENERAL Value Method: Market Parcel Id: 35-19-30-300-007B-0000 Number of Buildings: 1 Owner: HARMON ARVIS D Depreciated Bldg Value: $78,031 Mailing Address: PO BOX 2192 Depreciated EXFT Value: $0 City,State,ZipCode: SANFORD FL 32772 Land Value (Market): $21,613 Property Address: 1934 15TH ST W SANFORD 32771 Land Value Ag: $0 Subdivision Name: Just/Market Value: $99,644 Tax District: S1-SANFORD Assessed Value (SOH): $99,644 Exemptions: Exempt Value: $0 Dor: 01 -SINGLE FAMILY Taxable Value: $99,644 Tax Estimator SALES Deed Date Book Page Amount Vac/Imp Qualified ADMINISTRATIVE 04/2004 05291 1502 $100 Improved No DEED 2006 VALUE SUMMARY PROBATE 10/2003 05121 0409 $100 Improved No 2006 Tax Bill Amount: $1,631 RECORDS 2006 Taxable Value: $82,857 PROBATE 09/1996 03135 1802 $100 Improved No DOES NOT INCLUDE NON -AD VALOREM RECORDS ASSESSMENTS QUIT CLAIM DEED 06/1992 02436 1025 $100 Improved No WARRANTY DEED 01/1975 01068 1872 $23,600 Improved No Find Comparable Sales within this Subdivision LEGAL DESCRIPTION LAND LEG SEC 35 TWP 19S RGE 30E BEG 840 FT Land Assess Land Unit Land S + 2075.6 FT W OF NE COR RUN W 70 FT S Method Frontage Depth Units Price Value 80FTE70FTNSOFTTOBEG +W70FTOF FRONT FOOT & 70 130 .000 325.00 $21,613 E 317 FT OF LOT A DEPTH AMENDED PLAT ELNORA SQUARE DB 113 PG 482 BUILDING INFORMATION Bid Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost Num New 1 SINGLE 1975 6 1,281 1,631 1,281 BLOCK $78,031 $90,734 FAMILY Appendage / Sgft UTILITY FINISHED / 60 Appendage / Sgft OPEN PORCH FINISHED/ 100 Appendage / Sgft CARPORT FINISHED / 190 NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished,Base Semi Finshed 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=3 51930300007B0000&c... 7/20/2007 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) Propert Address: 7 I , / V !' l��s do herebystate that I am qualified and capable of r performi,g the requested construction involved with the permit application filed. Signature Form of Identification �w �_ I Ce(15 2 k1 X55 oo y-5 s56q 0 (Must be Photo ID) 5S dao-� 7 Date 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. 1 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. 1 UNDERSTAND THAT FOR ANY UN -LICENSED PERSON I HIRE, I MUST DEDUCT F.I.C.A., WITHHOLDING TAX, AND PROVIDE WORKERS' COMPENSATION INSURANCE. Propert Address: 7 I , / V !' l��s do herebystate that I am qualified and capable of r performi,g the requested construction involved with the permit application filed. Signature Form of Identification �w �_ I Ce(15 2 k1 X55 oo y-5 s56q 0 (Must be Photo ID) 5S dao-� 7 Date 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) NOTICE OF COMMENCEMENT Permit No. Parcel ID:�'—f' 9 "•3�— 1�C�j! "L7C1 %� �JOOG� 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 ofproperty: le al descct'iption of th prop y an street address if available) �1 h 41 /;n - pf-W �, 2. Genets description of itAprovement: Ce. M ifn 3. Owner Information a. Name and address: c5 ,�• '/aiRVf?7lafL% -Frmr tZ-C ©b. Interest in property: / �t c. Name and address of fee simple titleholder (if other than owner) 4. Contractor r a. Name and address:t� b. Phone Number: Surety a. Name and address: b. Amount of bond $_ c. Phone Number: 6. Lender I IIIII 11111 II Ili 111111111111 III 11 111 i1 Iii it 111 11 111 11 111 1 1911 MARY11ft MORIIE, CLERK OF CIRCUIT COURT SEMINOLE C0UN'IY 8K 06765 Pg 0470; Optl) CLERK'S # 2007106067 RIFCORDI_D 011 PW P007 0I :5 3:,�6 PM RFCOROIN6 F 11"193 10.00 RECORDED BY H, DeVQrtERTIFIED COPY. ; M4PYOINE MORSE OF CIRCUIT COURT AlUID®M UT K Y S►� r.1-I—c>►zr� -FL a. Name and address: b. Phone Number: 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: I b. Phone Number: address: 5 C(w A 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: ., X,A .iA.•000• b. Phone Number: 9. Expiration date of notice of commencement (the expiration date is 1 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 YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COENCE N Sign ture of Owner or Owner's Authorized Officer/Director/Partner/Manager Signatory's Title/O The foregoing instrument was acknowledged before me thisc-30 day of —J u t --L .20C:51 by -x'12-V 1 S Dlri V I S I-i'ra'l2JV-'KQ1,-1 (name of person) as (type of authorrt� ...,•,e g. officer, trustee, attorney in act) for (name of party on behalf � QikhLA � umept was executed). Signature of , tate of Florida Commission Expires: � 1 �mn\3 4s