HomeMy WebLinkAbout2847 Empire Pl (5)CITY OF SANFORD PERMIT APPLICATION
Application # : V —7-- J 14 � Submittal Date: f/ / 0 �v
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Job Address: Value of Work: � �
Parcel ID: Zonin,,g� Historic District:
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Description of Work: �/006 �'���4 PBrl� W l ?. Square Footage: m�(/� 7
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Permit Type: Building C1Electrical ❑ Mechanical ❑ Plumbing (d..Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑
Electrical: New Service — # of AIMPS 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 G3/ Commercial ❑ industrial ❑ Occupancy Use Group(s):
Construction Type: # of Stories: _ / # of Dwelling Units: Flood Zone: (FEMA form required )
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Property Owner: �/Jl ��/� d (pV 1 V Contractor:
Address: a'OZ141 6WP1A6&_6 Address:
Phone:*0,&/ -1119'Z E-mail: Phone: State License Number:
Bonding Company:
Address:
Mortgage Lender:
Address:
Arch itect/Engineer. �'�/�� Phone:
Address: fi
Plan Review Contact Person: �����% c�J/Tf7� Phone: W�W-w4ax:
Fax:
E-mail:
Application is hereby made to obtain a permit to do the work and installations as indicated. l 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.
Acceptance of permis �entication that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
Signor of Owner/Agent Date Signature of Contractor/Agent Date
P- OwnedAgent's Na
Signature of Notary -State of Florida Date
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O�ent<isz_ Pers&Ay inn %sto Me or
"7G�
APPROVALS: ��r� #J h ..' " c�
Special Cc
Rev 07.07
M
Print Contractor/Agent's Name
Signature of Notary -State of Florida
Contractor/Agent is _
Produced ID _
ENG:
Date
Personally Known to Me or
BLDG:
0
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)
Property Address:
.3�
I, 4-Z l 7Kf SIVI' Ti4' , do hereby state that I am qualified and capable of
performing the requested construction involved with the permit application filed.
Form of I
C
ay'3a— 76,
9— 7-0 7
Date
*(jVlu9fM Photo Taal. V
f•
A violation of this exemption is deeano of the fast degree punishable by a term of imprisonment not
exceeding 1 year and a $11,00f3afihegn=a'dd%ion t aey civil penalties. In addition, the local permitting
jurisdiction shall withhold final vafd.relol�eh�Xork
it, or pursue any action or remedy for unlicensed
activity against the owner and an�/o�r perfo� that requires licensure under the permit issued.
(Rev. 4/20/07)
I UNDERSTAND AND AGREE TO THE EXEMPTION PROVISIONS OF FLORIDA STATUTES 489.103
44
AS LISTED ABOVE.
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.
1 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:
.3�
I, 4-Z l 7Kf SIVI' Ti4' , do hereby state that I am qualified and capable of
performing the requested construction involved with the permit application filed.
Form of I
C
ay'3a— 76,
9— 7-0 7
Date
*(jVlu9fM Photo Taal. V
f•
A violation of this exemption is deeano of the fast degree punishable by a term of imprisonment not
exceeding 1 year and a $11,00f3afihegn=a'dd%ion t aey civil penalties. In addition, the local permitting
jurisdiction shall withhold final vafd.relol�eh�Xork
it, or pursue any action or remedy for unlicensed
activity against the owner and an�/o�r perfo� that requires licensure under the permit issued.
(Rev. 4/20/07)
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 2
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DAVID JOHNSON, CFA. ASA
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PROPERTY
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APPRA[5ER;0
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SEMINOLE COUNTY FL.
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1101E. FIRST ST
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SANFORD, FL 32771.1468
407-665-7506
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2007 WORKING VALUE SUMMARY
Value Method: Market
GENERAL
Number of Buildings: 1
Parcel Id: 06-20-31-505-OE00-0350
Depreciated Bldg Value: $96,435
Owner: SMITH RALPH R & EDYTHE M
Depreciated EXFT Value: $384
Mailing Address: 2847 EMPIRE PL
Land Value (Market): $22,140
City,State,ZipCode: SANFORD FL 32773
Land Value Ag: $0
Property Address: 2847 EMPIRE PL SANFORD 32773
Just/Market Value: $118,959
Subdivision Name: WOODMERE PARK 2ND REPLAT
Assessed Value (SOH): $52,477
Tax District: S1-SANFORD
Exempt Value: $25,000
Exemptions: 00 -HOMESTEAD (1994)
Taxable Value: $27,477
Dor: 01 -SINGLE FAMILY
Tax Estimator
Tax Reform Analysis
2007 Notice of Proposed Property Tax
SALES
2006 VALUE SUMMARY
Deed Date Book Page Amount Vac/Imp Qualified
Tax Amount(without SOH): $1,597
WARRANTY DEED 06/1987 01864 0416 $45,000 Improved Yes
2006 Tax Bill Amount: $516
QUITCLAIM DEED 01/1987 01809 1841 $100 Improved No
Save Our Homes (SOH) Savings: $1,081
WARRANTY DEED 12/1980 01313 1759 $31,900 Improved Yes
2006 Taxable Value: $26,197
WARRANTY DEED 01/1979 01203 1048 $27,500 Improved Yes
DOES NOT INCLUDE NON -AD VALOREM
Find Comparable Sales within this Subdivision
ASSESSMENTS
LAND
LEGAL DESCRIPTION
Land Assess Method Frontage Depth Land Unit Land
PLATS: Pick... �
Units Price Value
FRONT FOOT &
LEG LOT 35 BLK E WOODMERE PARK 2ND
60 118 .000 410.00 $22,140
DEPTH
REPLAT PB 13 PG 73
BUILDING INFORMATION
Bid Num Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost New
1 SINGLE
1972 5 956 1,305 956 BOCK ONC $96,435 $115,146
FAMILY
Appendage / Sgft UTILITY FINISHED / 88
Appendage / Sgft OPEN PORCH FINISHED / 30
Appendage / Sgft GARAGE FINISHED / 231
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
WOOD DECK 1990 192 $384 $960
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.
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