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Permit # :
D S
Job Address:
Description of Work:
Historic District:
CITY OF SANFORD PERMIT APPLICATION
Date: ! — o S
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
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 # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair— Residential or Commercial
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #:
Owners Name & Address:
Contractor Name & Address:
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Address:
r I Sd +%
Attach Proof of Ownership & Legal Description)
Phone: `' O 7 b f%fk-
State License Number:
Contact Person: Phone:
Phone:
Fax:
Application is hereby made to obtain a pem-dt to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the
issuance of a pemdt 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.
N TI E: 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 permiygerrificatioRrthat I wilwtify owner of the property of the requirements of Florida Lien law, FS 713.
Signature of Qwner/AgerA 1 ` Date Signature of Contractor/Agent Date
nrN 1 \.o h t I^ 5-r
ent's Name '
n
State of Florida Date
DEB BIE BLANTON
MY COMMIZ:ON # DD 18U91
PmduoodrlH
APPLICATION APPROVED BY: Bldg Q- 6
Zoning:
a Date)
Special Conditions:
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is _ Personally Known to Me or
v _ Produced ID
Initial & Date)
Utilities: no
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 farm
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 I 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 person
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 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 $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' compensation
for that employee, all as prescribed by law. Your construction must comply with all applicable laws,
ordinan , bui ing code an ring regulations.
I, 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 by law on the permitted structure.
z' 2-
Owner/Builder Signature Date
r rA
Print Owner/Builder Name
Date
MY COMMIGSION * DD 1884"
EXPIRES: February 25, 2007
n Pers r , ama to 4e or has
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
kRCE,L DETAIL
AVID .10HNSON, CFA, ASA
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n
PROPERTY y
APPRAISER m f
SEMINOLE COUNTY FL J
ST1101E. FIRST ST E ITH
SANFORD, FL 32771-1465 407-665-7506
2005 WORKING VALUE
SUMMARY GENERAL Value Method:
Market
25-19-30-
5AG-090E Number of Buildings: 1 Parcel Id: 0100
Tax District: S1-SANFORD Depreciated Bldg Value: $
22,162 Owner: ROBINSON SANDRA
Exemptions: 00- Depreciated EXFT Value: $0 HOMESTEAD Land Value (
Market): $3,900 Address: 804 E
8TH ST Land Value Ag: $0 City,State,ZipCode:
SANFORD FL 32771 Just/Market Value: $26,062 Property Address: 804
8TH ST E SANFORD 32771 Assessed Value (SOH): $26,062 Subdivision Name: SANFORD
TOWN OF Exempt Value: $25,000 Dor: 01-SINGLE
FAMILY Taxable Value: $1,062 Tax Estimator SALES
Deed Date
Book
Page Amount Vac/Imp 2004 VALUE SUMMARY QUIT CLAIM DEED
01/2005 05569 1689 $22,000 Improved Tax Value(without SOH): $547 ADMINISTRATIVE DEED 11/
2004 05555 0842 $100 Improved 2004 Tax Bill Amount: $547 PROBATE RECORDS 10/
2003 05121 0400 $100 Improved Save Our Homes (SOH) Savings: $0 WARRANTY DEED 11/
1989 02129 0563 $13,900 Improved 2004 Taxable Value: $26,678 CERTIFICATE OF TITLE
09/1989 02107 1722 $20,000 Improved DOES NOT INCLUDE NON -AD VALOREM QUIT CLAIM DEED
12/1987 01925 1566 $100 Improved ASSESSMENTS Find Comparable Sales
within this Subdivision LAND Land Unit
Land
LEGAL DESCRIPTION PLAT Land Assess Method
Frontage Depth Units Price Value
LEG E 1/2 OF LOT 10 BLK 9 TR E TOWN OF FRONT FOOT & 50
58 .000
130.00 $3,900 SANFORD PB 1
PG 56 DEPTH BUILDING INFORMATION
Bid
Num Bid
Type Year Bit Fixtures Base SF Gross SF Heated SF Ext Wall Bid Value Est. Cost New 1 SINGLE FAMILY
1935 3 1,040 1,160 1,040 SIDING AVG $22,162 $49,249 Appendage / Sgft OPEN
PORCH FINISHED / 120 values shown are
NOT certified values and therefore are subject to change before being finalized for ad valorem FNOTE,Assessed purposesfourecently
purchased a homesteaded property your next ear's property tax will be based on Just/Market value. http://www.scpafl.
org/pls/web/re_web. Seminole_county_title?parcel=2519305AG090E0100,... 2/7/2005