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HomeMy WebLinkAbout2465 Palmetto Ave4 % CITY OF SANFORD PERMIT APPLICATION ` IG 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� i 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 $1,000.00 fine in addition to any civil penalties. In addition, the local permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy for unlicensed activity against the owner and any person performing work that requires licensure under the permit issued. (Rev. 4/20/07) Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1 riYi.ri �.JtL 75.0 ,) 12 X91.0 ;1 DAVID JOHNSom, CrA, ASA 7$,0 13 PROPERTY "-' A , 78.0 a 93.A APPRAISER 9 _ I 16 t 13.0 1G t SEMINOLE COUNTY FL 14 3 1I 1' E117 1101 E. FIRST sT 1 4 SANFORD, FL32771-7468 1a 1:a 407-665-7506 h 1yJ 13.020.0 -; 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