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Home My WebLink About2916 S Palmetto Ave (5)F CITY OF SANFORD PERMIT APPLICATION Application # :n G / d t4o) Submittal Date: 0 Job Address: Ko S - PE",I— f TTO N V Value of Work: S 4 O Q Parcel ID: L��S... S `�� aVCS (ZiS IQIN%�;Ci \-�"Lon�ing: Historic District: Description of Work: 7—NS-rRu— G eyz e r1+ -e` _ w ian � Square Footage: .....................................,,.//............................. SIS?............................................... Permit Type: Building 11 Electrical Rt— Mechanical O 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 Plumbing/New Residential: # of Water Closets Occupancy Type: Residential JE!r-- Commercial ❑ Industrial ❑ Construction Type: LpeicoC) # of Stories: # of Dwelling Units: # of Gas Lines Plumbing Repair —Residential ❑ Commercial ❑ Occupancy Use Group(s): Flood Zone: (FEMA form required ) ........................................................................................................................ Property Owner.-BCi2.TNa PgAyx LCj^2y T1' g6TOO Contractor: Address:c�n 1(o S' 90(uy\ E \ o P\ ICS Address: Sy,,,v.-sr-oa.o 'EL , - 13-71 -) 3 Phone:yol `3Z5-�a 12 mail:GFLR4I-RP-CTO*3(40YA ViOO,Clhone: 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. 1 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 permit is vsf cation that 1 'll notify the owner of the property of the requirements of Florida Lien Law, FS 713. r4, G -9 -01 Signature er/Agent Date Signature of Contractor/Agent GoeN`T a,QA Icy Print Owner/Agent's Name Print Contractor/Agent's Name � - �0fk-(01 Signature of Notary -State of Florida Date Signature of Notary -State of Florida "r Pry OEB9IE LEi►N MY COMMISSION p DD629096 OF Fl. EXPIRES: February 25, 2011 b 00,3-NOTARV FI, Notay DIS Owner/Agent , ' Co. Produced ID Z APPROVALS: ZONING: Special Conditions: Rev 02/2007 UTIL: FD: Date Date Contractor/Agent is _ Personally Known to Me or Produced ID ENG: BLDG:— IT 3P 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, 1 ATTEST THAT: (Initial to the left of each statement) -� I UNDERSTAND AND AGREE TO THE EXEMPTION PROVISIONS OF FLORIDA STATUTES 489.103 AS LISTED ABOVE. 1 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. -�-� �Z I UNDERSTAND THAT FOR ANY UN -LICENSED PERSON I HIRE, I MUST DEDUCT F.I.C.A., WITHHOLDING TAX, AND PROVIDE WORKERS' COMPENSATION INSURANCE. P Address: nn � � S , •� C-�ME�� 1/tC � 1�F0 (i0 T' L- • 3 Z7 � � I, �1� `ice Lia do hereby state that I am qualified and capable of p rming the requested construction involved with the permit application filed. Date Form of Identification (Must be Photo ID) Ayre- tfIt- �f�s SSS oN �NTo F1 NO� AsQry�O2p90 6 A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment �"'�a co, ' 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) Y � � Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1 PARCEL DF. -MAIL DAvin JOHnsobi;.CFA. ASA PROPERTY A POiIA15ER SEMINOLE' OOUNTY,FL 1101 E. F1 W-T,ST 9ANFWiD, FL32771-1468 407 - 66.5/7508 2007 WORKING VALUE SUMMARY GENERAL Value Method: Market Parcelld: 01-20-30-519-0500-0050 Number of Buildings: 1 Owner: DRAKE BERTHA & TARLTON Depreciated Bldg Value: $59,720 Own/Addr: GARY E & HICKEY PEGGY Depreciated EXFT Value: $2,664 Mailing Address: 2916 S PALMETTO AVE Land Value (Market): $34,047 City,State,ZipCode: SANFORD FL 32773 Land Value Ag: $0 Property Address: 2916 PALMETTO AVE S SANFORD 32773 Just/Market Value: $96,431 Subdivision Name: ROSALIND HEIGHTS Assessed Value (SOH): $47,967 Tax District: S1-SANFORD Exempt Value: $25,000 Exemptions: 00 -HOMESTEAD (2001) Taxable Value: $22,967 Dor: 01 -SINGLE FAMILY Tax Estimator SALES Deed Date Book Page Amount Vac/Imp Qualified WARRANTY DEED 08/2000 03917 0949 $100 Improved No 2006 VALUE SUMMARY WARRANTY DEED 03/2000 03821 0681 $100 Improved No Tax Amount(without SOH): $1,075 QUIT CLAIM DEED 01/1998 03810 0473 $100 Improved No 2006 Tax Bill Amount: $429 FINAL JUDGEMENT 01/1998 03359 1417 $100 Improved No Save Our Homes (SOH) Savings: $646 WARRANTY DEED 03/1995 02896 1458 $25,000 Improved Yes 2006 Taxable Value: $21,797 WARRANTY DEED 02/1987 01819 1014 $100 Improved No DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS WARRANTY DEED 02/1987 01819 1013 $15,000 Improved Yes Find Comparable Sales within this Subdivision LAND LEGAL DESCRIPTION Land Assess Frontage Depth Land Unit Land PLATS: Pick... Method Units Price Value FRONT FOOT & LEG LOTS 5 + 6 BLK 5 ROSALIND HEIGHTS DEPTH 117 134 .000 300.00 $34,047 PB 3 PG 47 BUILDING INFORMATION Bid Num Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost New 1 SINGLE 1920 3 1,120 1,340 1,340 SIDING AVG $59,720 $149,299 FAMILY Appendage / Sgft ENCLOSED PORCH FINISHED / 220 NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished,Base Semi Finshed Permits EXTRA FEATURE Description Year Bit Units EXFT Value Est. Cost New WOOD DECK 2002 666 $2,664 $3,330 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 your next ear's property tax will be based on Just/Market value. http://www.scpafl.org/web/re_web. seminole_county_title?parcel=01203051905000050&cp... 6/8/2007 �,�-.�r ��` �� i Ly NOTICE OF COMMENCEMENT Permit No. Parcel ID: d I J0 3 0— Pi 19 0S00 -'t c�vS a 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. x- Description of pr erty: (legal description of the property and street �'Q ((- S•1p'c Mn�-'0N►re- ` flP' pc(XQ VT,. IIN1i6won IMIR MInImp Elul a NARYANNE ON, CLERK OF CIRCUIT COURT SEMINOLE COUNTY BK 06721 Pg 0375; (ipg) CLERK'S ## 2'007084804 REWRAlr7i 06/08/2007 IW560 AN REftWINS FEES 10,00 RECORDED BY T Seith CE�TINN� mpFtS� Cbti. F �lRCU1S FICRIAA S�M1NC SRK . ldress if available) 001 92 General description of improvement:►�< SIA Li. Name and address: a * Interest in property d wYu L.�- b. Name and address of fee simple titleholder (if other than Owner) 4. Contractor Name and address: C �SPA � Fc S aZsg *-) L , 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 1 year frr the date of recording unless a different date is specified) �4 gnature of Owner Sworn to (or affirmed) and subscribed before me this -- day of 20_0 �_3 by Personally Known or Produced Identification Type of Identification Produced FfN V Signature of Notary Public, State of Florida Commission Expires: =o�DEBBIE BLANTON MY COMMISSION # DD629096 EXPIRES: February 25.2011 of F`D FI. Notary Dist Asac Co. 1400 -3 -NOTARY THIS INSTRUMENT PREPARED B' IVAMEG -4 7P% YL CIO -A- ADD