HomeMy WebLinkAbout138 Hazel Blvd (3)Permit #0
Job Address:!
Description of Work:
Historic District:
CITY OF SANFORD PERMIT APPLICATION
Date:
e�V
Zoning: Value of Work: S 1
Permit Type: Building Electrical
Electrical: New Service – # of AMPS
Mechanical: Residential Non -Residential _
Plumbing/ New Commercial: # of Fixtures
Plumbing/New Residential: # of Water Closets
Occupancy Type: Residential Commercial
Construction Type: # of Stories:
Parcel #:
Owners Name & Address:
Contractor Name & Address:
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender: .
Address:
Architect/Engineer:
Address:
Mechanical Plumbing Fire Sprinkler/Alarm Pool
_ Addition/Alteration Change of Service Temporary Pole
Replacement New (Duct Layout & Energy Calc. Required)
# of Water & Sewer Lines # of Gas Lines
Plumbing Repair – Residential or Commercial
Industrial Total Square Footage:
_ # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Contact Person:
(Attach Proofjolj Ownership & Legal Description)
l4aru E—
Phone: V /l / — 5 L. -5
State License Number:
Phone:
Fax:
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 dditional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptanceof per i is rification th will not' the owne the property of the requirements of Florida Lien Law, FS 713.
J -Flo4l
Sig re of Owner/Agent , Date Signature of Contractor/Agent Date
Owner/Agent'
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Date
MY COMMISSION # DD 164280
EXPIRES: November 12, 2006
Bonded
Owner/Xg@fit°isP Perso�nally 1 NotaWne ops e orr (�
Produced lD �� -ck)y,
APPLICATION APPROVED BY: Bldg: Zoning:
(Initia Date)
Special Conditions:
Print Contractor/Agent's Name
Signature of Notary -State of Florida
Date
Contractor/Agent is Personally Known to Me or
_ Produced ID
Utilities: FD:
(Initial & Date) (Initial & Date) (Initial & Date)
CITY OF SANFORD BUILDING DIVISION
OWNER/BUILDER AFFIDAVIT
CONSTRUCTION CONTRACTING
Owners of property when acting as their own contractor and providing direct, onsite supervision
themselves of all work not performed by licensed contractors, when building or improving farnT
outbuildings or one -family or two-family residences on such property for the occupancy or use of such
owners and not offered for sale or lease, or building or improving commercial buildings, at a cost not to
exceed $25,000, on such property for the occupancy or use of such owners and not offered for sale or
lease. In an action brought under this part, proof of sale or lease, or offering for sale or lease, of any such
structure by the owner -builder within l year after completion of same creates a presumption that the
construction was undertaken for purposes of sale or lease. This subsection does not`exempt any person
who is employed by or has a contract with such owner and who acts in the capacity of a contractor. The
owner may not delegate the owner's responsibility to directly supervise all work to any other pers-on
unless that person is registered or certified under this part and the work being performed is within the
scope of that person's license. For the purposes of this subsection, the term "owners of property"
includes the owner of a mobile home situated on a leased lot. To qualify for exemption under this
subsection, an owner must personally appear and sign the building permit application.
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 yot.tr 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, provide -.d your
costs do not exceed $25,000. 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 supervising
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' compen-sation
for that employee, all as prescribed by law. Your construction must comply with all applicable laws,
ordinances, building codes, and zoning regulations.
I, Ma1 ✓V r✓ f� Ig — 14-x' , do hereby state that I am qualified and capable of performing the
requested construction involved with the permit application filed.
I will assume full responsibility as an Owner/Builder Contractor, and will personally supervise all work
allowed b
law on the permitted structure.
P7--�-��
erBuilder Signature Date
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Printuilder 14ame
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Owner is Personally Known to McQr has
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Produced IDI
, Seminole County Property Appraiser Get Information by Parcel Number Page I of I
PARCEL DETAIL
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2004 WORKING VALUE SUMMARY
GENERAL
Value Method: Market
Parcel Id: 10-20-30-509-0000- Tax District: SI-SANFORD
0230
Number of Buildings: 1
Depreciated Bldg Value: $94,870
00-
Owner: KOTT LEONARD J JR &Exemptions: HOMESTEAD
Depreciated EXFT Value: $863
Own/Addy: HAFELE-KOTT MARY E
Land Value (Market): $20,000
Address: 138 HAZEL BLVD
Land Value Ag: $0
City,State,ZipCode: SANFORD FL 32773
Just/Market Value: $115,733
Property Address: 138 HAZEL BLVD SANFORD 32773
Assessed Value (SOH): $86,263
Subdivision Name: HAZEL GLEN
Exempt Value: $25,000
Dor: 01 -SINGLE FAMILY
Taxable Value: $61,263
2004 Notice of Proposed Property Tax 1
2003 VALUE SUMMARY
SALES
Tax Value(without SOH): $1,716
Deed Date Book Page Amount Vac/Imp
2003 Tax Bill Amount: $1,256
WARRANTY DEED06/1997 03260 1503 $89,900 Improved
Save Our Homes (SOH) Savings: $460
WARRANTY DEED01/1987 01810 0047 $85,700 Improved
2003 Taxable Value: $59,655
Find Comparable Sales within this Subdivision
DOES NOT INCLUDE NON -AD VALOREM
ASSESSMENT,(:
LAND
LEGAL DESCRIPTION PLAT
Land Assess Method Frontage Depth Land Units Unit Price Land Value
LEG LOT 23 HAZEL GLEN PB 33 PG 63
LOT 0 0 1.000 20,000.00 $20,000
BUILDING INFORMATION
Bid Num Bid Type Year Bit Fixtures Base SF Gross SIF Heated SF Ext Wall Bid Value Est. Cost New
1 SINGLE FAMILY 1987 8 725 2,119 1,450 CONC BLOCK $94,870 $100,925
Appendage/Sqft ENCLOSED PORCH FINISHED / 160
Appendage / Sqft GARAGE FINISHED/ 441
Appendage / Sqft OPEN PORCH FINISHED/ 68
Appendage / Sqft UPPER STORY FINISHED / 725
EXTRA FEATURE
Description Year Bit Units EXIFT Value Est. Cost New
FIREPLACE 1987 1 $863 $1,500
NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem to
[purposes.
1*** If you recently purchased a homesteaded property your next year's property tax will be based on Just/Market value.
.../re web.seminole_county_title?parcel=10203050900000230&cpad=hazel&cpad—num=l 3 8&10/8/2004