HomeMy WebLinkAbout2465 Palmetto Ave4 % CITY OF SANFORD PERMIT APPLICATION
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Application # : ' �3 1 Submittal Date: ` 0 4
Job Address: %�i!%S �Q tuQ�f �Q A�l� T'� ,3 Z��) Value of Work: $r'� C�
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Parcel ID:
Description of Work:
Zoning:
P
Historic District:
Square Footage:
........................................................•................................................................
Permit Type: Building E�' 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 B-- Commercial ❑ Industrial ❑ Occupancy Use Group(s):
Construction Type: # of Stories: k # of Dwelling Units: Flood Zone- (FEMA form required)
........................................................................................................
PropertyOwner: Contractor:
Address: S GI t,,•E ut Address:
aVk
Phone:'40-' 'q � E-mail: a� d a� to �L K�•we l Phone: State License Number:
Bonding Company: Mortgage Lender:
Address
Arch itect/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. 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 pe t ievdvl`,�
ill notify the owner of the property of the requirements of Florida Lien Law, FS 713.
6_L�-��
Si atu a of Owner/A nt Date Signature of Contractor/Agent
c�,,E `' ,
t "er/Agent s tv ae -
�,�-� c�. I4 167
Signature of Notary-Sta e.gf,F+gr!¢A, Date
Print Contractor/Agent's Name
113
Signature of Notary -State of Florida Date
Owner/Agent"-i 'sonally Knawn tOl[1B€ Contractor/Agent is Personally Known to Me or
Producei461_ Produced ID
APPROVALS: ZONIN L�• "✓'', ona \" .pUT1 FD: ENG: BLDG:
Special Conditions: `Pi
Rev 02/2007
��///11iIMi1111
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)
Prop y Address: Z q4� �a1l�'2 RO kre �ti�il� , t _� Zig I
tC lnA i�
, do hereby state that I am qualified and capable of
performiiA the requested cgnstruction involved with the permit application filed.
Signature
6- g10-7
Date
FA -
Form of Identification �r'(t
(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.
1 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.
Prop y Address: Z q4� �a1l�'2 RO kre �ti�il� , t _� Zig I
tC lnA i�
, do hereby state that I am qualified and capable of
performiiA the requested cgnstruction involved with the permit application filed.
Signature
6- g10-7
Date
FA -
Form of Identification �r'(t
(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 1
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APPRAISER
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SEMINOLE COUNTY FL
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1101 E. FIRST sT
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SANFORD, FL32771-7468
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2007 WORKING VALUE SUMMARY
GENERAL
Value Method: Market
Parcel Id: 36-19-30-542-0000-0090
Number of Buildings: 1
Owner: EVANS RICHARD A & NELLIE M
Depreciated Bldg Value: $52,834
Mailing Address: 400 PLUMOSA DR
Depreciated EXFT Value: $600
City,State,ZipCode: SANFORD FL 32771
Land Value (Market): $24,750
Property Address: 2465 PALMETTO AVE
Land Value Ag: $0
Subdivision Name: EDGEWOOD AMENDED PLAT OF
Just/Market Value: $78,184
Tax District: S1-SANFORD
Assessed Value (SOH): $78,184
Exemptions:
Exempt Value: $0
Dor: 01 -SINGLE FAMILY
Taxable Value: $78,184
Tax Estimator
SALES
2006 VALUE SUMMARY
Deed Date Book Page Amount Vac/Imp Qualified
2006 Tax Bill Amount: $1,411
WARRANTY DEED 09/1978 01190 0694 $14,000 Improved Yes
2006 Taxable Value: $71,679
DOES NOT INCLUDE NON -AD VALOREM
Find Comparable Sales within this Subdivision
ASSESSMENTS
LAND
LEGAL DESCRIPTION
Land Assess Frontage Depth Land Unit Land
Method Units Price Value
PLATS: Pick...
FRONT FOOT & 50 170 .000 450.00 $24,750
LEG LOT 9 EDGEWOOD PB 3 PG 61
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 1930 3 1,065 1,370 1,110 SIDING AVG $52,834 $108,378
FAMILY
Appendage / Sgft ENCLOSED PORCH FINISHED / 45
Appendage / Sgft SCREEN PORCH FINISHED / 260
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 1 $600 $1,500
NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad
valorem tax purposes.
"' Ifyou recently purchased a homesteaded property our next ear's property tax will be based on Just/Market value.
http://www. scpafl.org/web/re_web. seminole_county_title?parcel=36193054200000090&cp... 6/4/2007