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Home My WebLink About1015 W 10 StPermit # O CITY OF SANFORD PERMIT APPLICATION Job Address: S• rDate: Description of Work: s' > >r Historic District r--- Zoning: - 00— v Value of Work: $ 4:rq--. O Permit Type: Buil4i4g 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 Cale. Requited) Plumbing/ New Commercial: # of Fixtures of Water & Sewer Lines # of Gas Lines Plumbing/ New Residential: # of W ter Closets Plumbing Repair — Residential ortCommercial Occupancy Type: Residential Commercial Industrial Total Square Footage: Construction Type: t:!4 # of Stories: of Dwelling Units: Flood Zone: (FEMA form required for other than R) Parcel #: -+ —. 3IL-2A(AttacUjjh Proof of Ozone hip & Legalrlpdon) Owners Name & Address: f Phone: Contractor Name & Add State License Number. Phone & Fax: on t e hone Bonding Company - Address: Mortgage Lender: - Address: Architect Address: 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 issuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. 1 understand that a separate permitmustbesecuredforELECTRICALWORK. 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 TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING 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 jFtxptance ofpermiti verification that I will notify the owner of the ro erty of the requirements of Florida Lien Law, FS 713. of er/ Agent Date Signature of Contractor/Agent X 3 Z7 22M;id. Qy Print Contractor/Agent's Name 4Print p , tvc of NotaryloDate Signature of Notary -State of Florida tn2 —«G o Owner/A e t' C P Date Date r. . 6. hs ersonally Known to Me or oN w _Produced ID Contractor/Agent is _ Personally Known to Me or Produced ID APPLICATION APPROVED BY: Bldg %" d mod# Zoning: Initial & Date) Special Conditions: Initial & Date) Utilities: Initial & Date) FD: Initial & Date) 4 y°oo C CITY OF SANFORD BUILDING DIVISION ' OWNERIBUILDER 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 $21 000, on such property for the occupancy or use of such owners and not offered for sale orlease. 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 1 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 -fancily 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 an:d. 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, ordinances, building codes, and zoning regulations. I, , do hereby state that I am qualified and capable of performing the request 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. 27 if. J Owner/02ilder Signature Date a v3seS 1 majn WRY Prin Owner/Builder Name W = y oCL. 5 p; V vC N wZ7O _ X f Notarya of Florida Dad Owner is Jc Personally Known to Me or has Produced ID PFRRAMT PLOT PLAN A plot plan must be submitted along with any application for building permit, or application for special exception to the Board of Adjustment. This form may be. .itilized for any singly family construction, either c(DIzventional or mobile ]dome. The following items must be indicated: r ) 1 ff 1. Dimensions of lot or parcel. / S v 2. Name of abutting street or road. Avg 3. Proposed location of home; accessory building, or mobile home; showing setbacks to all property lir.Fs., 4. Any exiting structures Olt property. y, 0(,4 5a 5. Need Slab Elevations 'Ypo 6. If any trees are to be •removed, show location, size and type. 16-njL- 7. Any easements on property.*yv4 S. Indicate route of access to property. i l._ DATE o -041 2 Xb k.r r- 3 41, I , i. 7 2x x X ADDRESS OF PROPERTY APPIgOCANT PLANS REVIEWED CITY OF SANFORD jl 9h r t Y 1 0 Seminole County Property Appraiser Get Information by Parcel Number Page 1 of I e'p$!:i:::i :r::o 'iioci::i:ic?. y.>+:,a:;:: ::.:hi::.'•;_c . :.;:>pF:SSxi PARCEL DETAIL $ .f<; x :a x _y. xs..a>;ska ..;::.;.,} :; Back„ 2004 WORKING VALUE SUMMARY GENERAL Value Method: Market Number of Buildings: 1 Parcel Id: 25-19-30-5AH-0000-0221 Tax District: S1-SANFORD Depreciated Bldg Value: 16,472 Owner: BROWN ULYSSES Exemptions: Depreciated EXFT Value: 0 Address: 1707 W 11TH ST Land Value (Market): 4,668 City,State,ZipCode: SANFORD FL 32771 Land Value Ag: 0 Property Address: 1015 10TH ST W SANFORD 32771 r Just/Market Value: 21,140 Subdivision Name: ROBINSONS SURVEY OF AN ADD TO SANFORD Assessed Value (SOH): 21,140 Dor: 01-SINGLE FAMILY Exempt Value: 0 Taxable Value: 21,140 SALES 2003 VALUE SUMMARY Deed Date Book Page Amount Vac/Imp 2003 Tax Bill Amount: 441 PROBATE RECORDS 02/1998 03375 0488 $100 Improved 2003 Taxable Value: 21,140 DOES NOT INCLUDE NON -AD VALOREM Find Comparable Sales within this Subdivision ASSESSMENTS LAND LEGAL DESCRIPTION PLAT Land Assess Method Frontage Depth Land Unit Land LEG N 57 FT OF W 120 FT OF LOT 22UnitsPriceValue ROBINSONS SURVEY OF AN ADD FRONT FOOT & 57 120 .000 90.00 $4,668 TO SANFORD PB 1 PG 93 DEPTH BUILDING INFORMATION Bid Num Bid Type Year Bit Fixtures Gross SF Heated SF Ext Wall Bid Value Est. Cost New 1 SINGLE FAMILY 1918 3 1,762 1,522 SIDING AVG $16,472 $41,181 Appendage I Sqft UPPER STORY FINISHED / 720 Appendage I Sgft OPEN PORCH UNFINISHED / 240 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. http://www.scpafl.org/pls/web/re_web.seminole county_title?parcel=2519305AH0000022... 1/26/2004