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Home My WebLink About800 Bay AveCITY OF SANFORD PERMIT APPLICATION 0 7r7 or 7 Application 9: �n ,p Submittal Date: Job Address: W �11V ~' Value of Work: $ �Ut� /06 Parcel ID: Zoning: Historic District: Description of Work: Q( i .0 .P S Square Footage: •Permit Type: Building ❑ Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/.Alarm ❑ Pool ❑ Sign ❑ Electrical: New Service – # of AMPS Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑ Mechanical: Residential ❑ Non-Reside6tial ❑ 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 Commercial ❑ Industrial ❑ Occupancy Use Group(s): Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required ) . `` C.... ................................................................................ *PhProperty Owner: • • l I Contractor: Address: Address: Sri Fl, A0 7 7 3 Phone: `TU% 3��' L -mail: Phone: 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. 1 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. of perptit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. 47L 't i r v •r• C`�UiY.7 b-`�� i 12-4 �G 7 z5jgnatin+e �otaty tate ollonda Date rs d/,�y��e�� Personally Known to Me or _ Pro uc T" 1 6 L!�j ( L6 ~— 6-1 � APPROVALS: ZONING: Special Conditions: Rev 07.07 UTIL: FD: Signature of Contractor/Agent Date Print Contractor/Agent's Name Signature of Notary -State of Florida Date Contractor/Agent is _ Personally Known to Me or Produced ID ENG: BLDG: t3q.00 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, I ATTEST THAT: (Initial to the left of each statement) Property Address:_� 06 do hereby state that I am qualified and capable of the requested construction involved with the permit application filed. �Ag.Pr 124 . U .1 Date Form of Identificat[OA,, ice@ L L 7 G- S 1 -722 - U F , �' 'o t be Photo ID) A violation of tk t xer�ptioh is'a rnisdameanor of the first degree punishable by a term of imprisonment not exceeding 1 ekin6a*-,bOO 6640n?'e in addition to any civil penalties. In addition, the local permitting jurisdiction shai{,'withhoidlirtat•ipo al, revoke the permit, or pursue any action or remedy for unlicensed activity against tH��oWr? ,,and>rarson performing work that requires licensure under the permit issued. (Rev. 4/20/07) '�//l//1 11111�`��NNXI 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. 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. Property Address:_� 06 do hereby state that I am qualified and capable of the requested construction involved with the permit application filed. �Ag.Pr 124 . U .1 Date Form of Identificat[OA,, ice@ L L 7 G- S 1 -722 - U F , �' 'o t be Photo ID) A violation of tk t xer�ptioh is'a rnisdameanor of the first degree punishable by a term of imprisonment not exceeding 1 ekin6a*-,bOO 6640n?'e in addition to any civil penalties. In addition, the local permitting jurisdiction shai{,'withhoidlirtat•ipo al, revoke the permit, or pursue any action or remedy for unlicensed activity against tH��oWr? ,,and>rarson performing work that requires licensure under the permit issued. (Rev. 4/20/07) '�//l//1 11111�`��NNXI Seminole County Property Appraiser Get Information by Parcel Number Page l of 1 ,?Ak(;LL UL ice: d 1� � 5 1" DAVID JOHNSON, CFA, ASA E MST PROPERTY APPRAISER SEMINOLE COUNTY Ft- 0 � 1101E. FIRST sT 100Gm SANFORD, FL3=1-146a 407-665-75015 1aaH w 2007 WORKING VALUE SUMMARY Value Method: Market GENERAL Number of Buildings: 1 Parcel Id: 25-19-30-5AG-100G-0010 Depreciated Bldg Value: $89,381 Owner: FRAGE PHYLLIS Depreciated EXFT Value: $600 Mailing Address: 121 N BRISTOL CIR Land Value (Market): $16,020 City,State,ZipCode: SANFORD FL 32773 Land Value Ag: $0 Property Address: 800 BAY AVE Just/Market Value: $106,001 Subdivision Name: SANFORD TOWN OF Assessed Value (SOH): $106,001 Tax District: S1-SANFORD Exempt Value: $0 Exemptions: Taxable Value: $106,001 Dor: 01 -SINGLE FAMILY Tax Estimator Tax Reform Analysis 2006 VALUE SUMMARY SALES 2006 Tax Bill Amount: $1,834 Deed Date Book Page Amount Vac/Imp Qualified 2006 Taxable Value: $93,196 Find Comparable Sales within this Subdivision DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS LAND LEGAL DESCRIPTION Land Assess Frontage Depth Land Unit Land PLATS: Pick... Method Units Price Value FRONT FOOT & LEG LOT 1 10 R 5 TOWN OF 41 50 117 .000 360.00 $16,020 DEPTH SANFORD PBPG BUILDING INFORMATION Bid Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost New Num 1 SINGLE $89,381 $143,010 1951 6 1,152 2,036 1,584 FAMILY BLOCKCONC Appendage / Sgft SCREEN PORCH FINISHED / 140 Appendage /Sgft BASE/432 Appendage / Sgft GARAGE FINISHED / 312 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 1980 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. " 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=2519305AG I OOG0010&... 7/24/2007