Loading...
HomeMy WebLinkAbout929 W 11 StCITY OF SANFORD PERMIT APPLICATION Application # : — �C( Submittal Date: 04 -J t (� Job Address: Value of Work: $(. �1 00 Parcel ID: Zoning: Historic District: Description of Work: lo CD C7 D Square Footage: ........................................................................................................................ Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑ Permit Type: Building A Electrical: New Service – # of AMPS Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑ Mechanical: Residential ❑ Non-Residefitial ❑ 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 ❑ Commercial ❑ Industrial ❑ # of Gas Lines Plumbing Repair – Residential ❑ Commercial ❑ Occupancy Use Group(s): Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required ) ..................../................................................................................................... Property Owner: / Contractor: Address:ly 17 Address: 2 EL, Z- Phone:T�` U'y`� E-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. 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. 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 permit is verification that I wilynotify the owner of the property of the requirements of Florida Lien Law, FS 713. of Owner/Agent's ignaturer4,Nor-State of Florida Date JO ANN M. JOHN90N * * MY COMMISSION # OD 285622 A", Ov, EXPIRES: March 23,2008 Bonded Thru Budget Notary ServiCa Owner/Agent is Pefso all} own to Me or Produced ID/!✓ / 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 OWNER BUILDER ,$TATEMENT/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) Pro�fe y Address: QA q I, /✓ / %i w ym N do hereby state that I am qualified and capable of performing the requested c�nstruction involved with the.permit application filed. /0;M D Date Form of Identification (Must be Photo ID) �' " `' ► l �'�fl �q�'��--�•Z 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 licensyre under the permit issued. t4 ANN M. JOHNSON (Rev. 4/20/07) * MY COMMISSION # DD 285622 NQ, EXPIRES: March 23, 2008 "M Bonded Thru Budget Notary Services 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 1 SUPERVISE THE WORK. THIS PROPERTY IS NOT AN APARTMENT, CONDOMINIUM OR RENTAL PROPERTY. W 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. Pro�fe y Address: QA q I, /✓ / %i w ym N do hereby state that I am qualified and capable of performing the requested c�nstruction involved with the.permit application filed. /0;M D Date Form of Identification (Must be Photo ID) �' " `' ► l �'�fl �q�'��--�•Z 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 licensyre under the permit issued. t4 ANN M. JOHNSON (Rev. 4/20/07) * MY COMMISSION # DD 285622 NQ, EXPIRES: March 23, 2008 "M Bonded Thru Budget Notary Services Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1 .../re web.seminole_county_title?parcel=25193051100000230&cpad=11TH&c9/28/2007 22.H 22.F /1.Y'1.DI1 E 240 }1X 71.G PGA 1.K 1.F1 H 1. DAVID JOHNSON, CFA, ASA 1 J J7A � PROPERTY //21A s7o 12F 1, II APPRAISER 2.0 N 12TH IT SEMINOLE COUNTY FL.5A 2A ? F7TT 1101E. FiRsT sT SANFORD, FL32771-1466 407-665-7506 2007 WORKING VALUE SUMMARY Value Method: Market GENERAL Number of Buildings: 1 Parcel Id: 25-19-30-511-0000-0230 Depreciated Bldg Value: $83,071 Owner: WYNN KEVIN Depreciated EXFT Value: $0 Mailing Address: 929 W 11TH ST Land Value (Market): $11,570 City,State,ZipCode: SANFORD FL 32771 Land Value Ag: $0 Property Address: 929 11TH ST W SANFORD 32771 Just/Market Value- $94,641 Subdivision Name: Assessed Value (SOH): $94,641 Tax District: S1-SANFORD Exempt Value: $25,000 Exemptions: 00 -HOMESTEAD (2007) Taxable Value: $69,641 Dor: 01 -SINGLE FAMILY Tax Estimator Tax Reform Analysis 2007 Notice of Proposed Property Tax 2006 VALUE SUMMARY SALES Tax Amount(without SOH): $1,121 Deed Date Book Page Amount Vac/Imp Qualified 2006 Tax Bill Amount: $447 QUITCLAIM DEED 03/2006 06228 0939 $7,000 Improved No Save Our Homes(SOH)Savings: $674 WARRANTY DEED 10/1997 03317 0270 $4,500 Vacant Yes 2006 Taxable Value: $22,707 Find Comparable Sales within this Subdivision DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS LAND Land Unit Land LEGAL DESCRIPTION Land Assess Method Frontage Depth Units Price Value LOT 23 STENDIFORDS ADD PB 1 PG 110 FRONT FOOT & 50 117 .000 325.00 $11,570 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 1998 6 1,262 1,280 1,262 SIDING AVG $83,071 $86,308 FAMILY Appendage / Sgft OPEN PORCH FINISHED / 18 NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished,Base Semi Finshed Permits 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. .../re web.seminole_county_title?parcel=25193051100000230&cpad=11TH&c9/28/2007 LOT c�4 1 1 t h S T R E E T (25' R/W) (PAVED) _50,00' 90, 4051 • --- --- - — _ f 89,2909' I�QZ oa Lo U J ! 1 1i t! j / t d