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HomeMy WebLinkAbout2400 Marshall AveCITY OF SANFORD PERMIT APPLICATION Pertnit #: 0 U r... yyayk 0 Job Address: y71 00r Description of Work: 7,T-eaj Historic District: ing: 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 & Contractor Name & Address: Phone & Fax: Bonding Company: Address: Mortgage Lender: . Address: Architect/ Engineer: Address: Date: / — 070 - d 6 Value of Work: S 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) Attach Proof of Qwnership & Legal Description) Phone: State License Number: OC? o-1 S/"7 Contact Person: Phone: Phone: Fax: 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 ofthe 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 Ibis permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there ma dditional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of p is vcri ation will notify the owner of the property of the requirements of Florida Lien Law, FS 713. aa• ol Signature wncr/Agent Date Signature of Contractor/Agent Date Name Print Contractor/Agent's Name to c,%k N9la ry- St f florid Date Signature of Notary -State of Florida Date M•6EWAYt: o My COMMISSION # DO 16428n EXPIRES: November 12, 200b rYAee r ;p ? P Stalty'KN8Wn' fob or Contractor/Agent is _ Personally Known to Me or roduceli ID Produced ID APPLICATION APPROVED BY: Bldg: Initial & Dale) Special Conditions: Utilities: FD: Initial & Date) (Initial & Date) IM 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 $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 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 -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 I 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, ordinances, building codes, and zoning regulations. I, i., C a.-PSS , 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 by on the permitted structure. 2 MlOwnerBderSignatureDate °+ C+ r V Pllir a r .. rS `a,; Print OwnerB ' der Name .r o, G> Seminole County Property Appraiser Get Information by Parcel Number Page I of I DAYM JOHN P 'PERTYRO PPRAISEA 6R 7.0 4. 2 4Z7 - j5m 750F, X: L ColoDLL 2006 WORKING VALUE SUMMARY GENERAL Value Method: Market Parcel ld: 36-19-30-524-0300-0110 Number of Buildings: 0 Owner: LANDRESS THOMAS C & Depreciated Bldg Value: $o Own/Addy: LANDRESS KENNETH W Depreciated EXFT Value: $1,200 Mailing Address: 119 COUNTRY CLUB CIR Land Value (Market): $55,278 City,State,ZipCode: SANFORD FL 32771 Land Value Ag: $0 Property Address: 2400 MARSHALL AVE SANFORD 32771 Just/Market Value: $56,478 Subdivision Name: DREAMWOLD 3RD SEC Assessed Value (SOH): $56,478 Tax District: Sl-SANFORD Exempt Value: $0 Exemptions: Taxable Value: $56,478 Dor: 07-MISCELLANEOUS RESIDE Tax Estimator SALES 2005 VALUE SUMMARY Deed Date Book Page Amount Vac/Imp Qualified 2005 Tax Bill Amount: $1,127 PROBATE RECORDSD7/2005 05822 0623 $100 Improved No 2005 Taxable Value: $56,478 DOES NOT INCLUDE NON -AD VALOREM Find Comparable Sales within this Subdivision ASSESSMENTr LAND LEGAL DESCRIPTION Land Assess Method Frontage Depth Land Units Unit Price Land Value FRONT FOOT & 123 130 .000 250.00 $27,752 PLATS-Plck- DEPTH LEG LOTS 11 12 13 + 14 BLK 3 3RD SEC FRONT FOOT & 122 130 .000 250.00 $27,526 DREAMWOLD PB 4 PG 70IDEPTH EXTRA FEATURE Description Year Blt Units EXFT Value Est. Cost New WOOD UTILITY BLDG 1980 400 $960 $2,400 WOOD CARPORT NO FL1980 200 $240 $600 NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorer, tax purposes. 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=361930524030001 10&cpad=marshallSI/20/2006 DURABLE POWER OF ATTORNEY CONTAINING HEALTH CARE SURROGATE PROVISIONS BY THIS DURABLE POWER OF ATTORNEY I; KENNETH W. LANDRESS, Principal") of 154 Country Club Drive, Sanford, Florida 32771, appoint as my attorney in fact to manage my affairs as indicated below, my son, KEVIN W. 'LANDRESS, of 306 'Larkwood Drive, Sanford, Florida 32771. Upon the death, failure or inability of him to act as my attorney in fact, then I appoint my son, CHAD R. LANDRESS, of 4725 Unicoi Drive, Unicoi, Tennessee 37692, to act as Donee of this Power. This durable power of attorney is not affected by my subsequent. incapacity, except as provided by Florida Statute Section 709.08, and is exercisable from the date of execution. 1. General Grant of Power. r k . I hereby grant to my Agent full power and'authority to exercise or perform any act, power, duty, right or obligation whatsoever that I now have or may hereafter acquire, relating to any person, matters, transaction, or any interest in property owned by me, including, without limitation, my interest in all real property, including homestead real property; all personal property, tangible or intangible; all propertyheld in any type- of joint tenancy, including a tenancy in common, joint tenancy with right of survivorship or a tenancy by the entirety; all property over which I hold a general, limited, or special power of appointment; choses in action; and all other contractual or statutory rights or elections, including, but not limited to, any rights or elections in any probate or similar proceeding to which I am or may -become entitled; all as to such property now owned or hereafter acquired by me. I grant to my Agent full power and authority to do everything necessary in exercising any of the powers herein granted as fully as I might or could do if personally present, with full power of substitution or revocation. Except as otherwise limited by applicable law, or by this durable power of attorney; my attorney in fact has full authority to perform, without prior court approval, every act authorized and specifically enumerated in this durable power of attorney. I hereby ratify and confirm that my Agent shall lawfully have, by virtue of this durable power of attorney, the powers herein granted, including, but not limited to, the following: a. : Collect all sums of money and other property that maybe payable or belonging tome, and to execute receipts, releases, cancellations or discharges. b. Settle any account in which I have any interest and to pay or receive the balance of that account as the case may require. C. Borrow money on such terms and with such security as my attorney may think fit and to execute all notes, mortgages and other instruments that my attorney finds necessary or desirable. d. Draw, accept, endorse or otherwise deal with any checks or other commercial or mercantile instruments for mybenefit, specifically including the right to make withdrawals from any savings account or savings and loan deposits. e. Redeem bonds issued by the United States government or any of its agencies, any other bonds and any certificates of deposit or other similar assets belonging to me. lb f. Sell bonds, shares of stock, warrants, debentures, or other assets belonging to me, and execute all assignments and other instruments necessary or proper for transferring them to the purchaser or purchasers, and give good receipts and discharges for all money payable in respect to them. Also, to execute stock powers or similar documents on my behalf and delegate to a transfer agent or similar person the authority to register any stocks, bonds, or other securities either into or out of my name or nominee's name. g. Sell, purchase, rent, lease for any term, mortgage or exchange any real estate or interests in it, including homestead property, for such considerations and upon such terms and conditions as my attorney may see fit, and execute, acknowledge and deliver all instruments conveying or encumbering title to property owned by me alone as well as any owned by me and by any other person, jointly. If I am married, the attorney in fact may not mortgage or convey my homestead property without joinder of my spouse or my spouse's legal guardian. Joinder by my spouse may be accomplished by the exercise of authority in a durable power of attorney executed by my joining spouse, and either my spouse or I may appoint the other as attorney in fact. h. To represent me before the Treasury Department in connection with any matter involving any federal taxes in which I am a party, to make, sign, execute, verify and file any return required to be made under the revenue laws of the United States, or the Internal Revenue Code; or under the statutes of any state and to file any claim for refund, offer and compromise or application for a closing agreement, receive refund checks, execute waivers of any period of limitation, request extensions oftime, execute any waiver ofrestrictions on assessment for collection of any tax, and execute Petition of Appeal to the United States Tax Court. i. To execute any document on my behalf for the purpose of qualifying for any public/private benefit; and if when applying for Medicaid benefits, my income exceeds the income cap, to create an irrevocable income trust and to transfer so much of my income to said trust as will enable me to qualify for Medicaid benefits. j. To claim, disclaim or waive any interest in property that I have or would otherwise receive, including but not limited to homestead and elective share, create trusts, to renounce fiduciary positions and to deliver and convey any or all of my assets to the trustee or trustees of any trust created by me or created by my attorney in fact and to make gifts, including to my attorney in fact. k. To make gifts of my property to members of my family or in Trust for the benefit of 2- my family, in estate and income tax planning procedures. To have access to and control of, in the same manner and to the same extent as I do, ry other act or thing in connection with any safety deposit box leased to me that I could illy present. In. Engage in electronic commerce and internet banking. The above powers conferred upon my attorney in fact extend to all of my right, title and interest in such property as I have described above and in which I may have an interest jointly with any other person, whether in an estate by the entirety, joint tenancy or tenancy in common. 2. Limitations. Notwithstanding the powers contained in this durable power of attorney, my attorney in factmaynot: a. Perform duties under a contract. that requires the exercise of my personal services; b. Make any affidavit as to my personal knowledge; C. Vote in any public election on my behalf; d. Execute or revoke any will or codicil on my behalf; e. Create, amend, modify, or revoke any document or other disposition effective at mydeathortransferassetstoanexistingtrustcreatedbymeunlessexpresslyauthorizedbythispowerofattorney; or f Exercise powers and authority granted to me as trustee or as court -appointedfiduciary. 3. Health -Care Surrogate Provisions. Designation of Health,Care Surrogate. In the event that I have been determined to be incapacitated to provide informed consent for medical. treatment and surgical and diagnostic procedures, I wish to designate as my surrogate forhealthcaredecisions, the attorney in fact named herein: KEVIN W. LANDRESS Telephone number: (407) 620 - 6517 Cellular or (407) 320 - 9903 Home 3- la. but in the event that he is or becomes unwilling or unable to perform his duties, I wish to designate as my alternate surrogate, the successor attorney in fact named herein: CHAD R. LANDRESS Telephone number: (423) 948 - 0010 This designation revokes any prior health care surrogate designation which I may have made. I fully understand that this designation will permit my surrogate to make health care decisions and to provide, withhold, or withdraw consent on my behalf; to apply for public benefits to defray the cost of health care; and to authorize my admission to or transfer from a health care facility. Additional Instructions: Without limitation on the rights and authority of my Surrogate, my Surrogate may, among other acts and decisions: A. Have final authority to act for me and to make health care decisions for me in matters regarding my health care during my said incapacity; B. Consult with appropriate health care providers to provide informed consent in my best interests as the Surrogate perceives same; C. Give any consent in writing using the appropriate consent forms; D. Have access to all of my appropriate clinical records and may authorize the release of information and clinical records to appropriate persons to ensure the continuity of my health care; E. Apply for public benefits, including but not limited to, Medicare and Medicaid, for me, and to have access to information regarding my income and assets to the extent required to make application; F. Authorize the transfer and admission of me to or from a health care facility; G. Withhold or withdraw life -prolonging or death -delaying procedures in accordance with a written declaration, living will or last illness will and testament I may have or will in the future make; H. Seek Court orders providing for the withholding and withdrawal of life -prolonging or death -delaying procedures in accordance with a living will or last illness will and testament or declaration I may have made; I. Do all acts and make all decisions regarding my health care as authorized by law. My Surrogate shall not be liable or responsible for any costs or expenses of my medical treatment or care except as expressly stated by Statute and my Surrogate's signature on any admission papers for a health care facility shall not make the Surrogate liable or responsible for any costs and expenses incurred for my care at such health care facility, it being understood that the Surrogate acts for me and in my stead, and I, alone, would be liable or responsible for such costs and expenses. I further affirm that this designation is not being made as a condition of treatment or admission to a health care facility. I will notify and send a copy of this document to the following persons other than my surrogate, so they may know who my surrogate is. Name: Address: Phone: Name: Address: Phone: 4. Standard of Care. Except as otherwise provided herein, any attorney in fact named herein is a fiduciary who must observe the standards of care applicable to trustees as described in Florida Statute Section 737.302. My attorney in fact is not liable to third parties for any act pursuant to this durable power of attorney if the act was authorized at the time. If the exercise of the power is improper, my attorney in fact is liable to interested persons as described in Florida Statute Section 731.201 for damage or loss resulting from a breach of fiduciary duty by my attorney in fact to the same extent as the trustee of an express trust. If my attorney iri fact has accepted appointment either expressly in writing or by acting under the power, my attorney in fact is not excused from liability for failure either to participate in the administration of assets subject to the power or for failure to attempt to prevent a breach of fiduciary obligations thereunder. Multiple Attorneys in Fact: When Joint Action Required. Unless my durable power of attorney provides otherwise; a) If my durable power of attorney is vested jointly in two attorneys in fact by the same instrument, concurrence of both is required on all acts in the exercise of the power. by If my durable power of attorney is vested jointly in three or more attorneys 5- V-J in fact by the same instrument, concurrence of a majority is required in all acts in the exercise of the power. c) Any attorney,in fact who has not concurred in the exercise of authority is not liable to me or any other person for the consequences of the exercise. A dissenting attorney in fact is not liable for the consequences of an act in which the attorney in fact joins at the direction of the majority of the joint attorneys in fact if the attorney in fact expresses such dissent in writing to any of the other joint attorneys in fact at or before the time of the joinder. d) Unless my durable power of attorney provides otherwise; all authority vested in multiple attorneys in fact may be exercised by the one or more that remain after the death, resignation, or incapacity of one or more, of the multiple attorneys in fact. 6. Interpretation and Governing Law. This instrument is executed by me in the'State of Florida, but it is my intention that this power of attorney shall be exercisable in any other state or jurisdiction where I may have any property or interest in property. This instrument is to be construed and interpreted as a durable power of attorney as provided for in Florida Statute Section 709.08, and as a health care surrogate as provided for in Florida Statute Section 765, as these statutes may be amended from time to time. The enumeration of specific powers herein is not intended to, nor does it, limit or restrict the'general powers herein granted to my Agent. This instrument is executed and delivered in the State of Florida, and the laws of the State of Florida shall govern all questions as to the validity of this power and the construction of its provisions. 7. Third Party Reliance. a) Any third party may rely upon the authority granted in my durable power of attorney until the third party has received notice as provided herein. b) Until a third party has received notice of revocation pursuant to the terms contained herein, partial or complete termination of the durable power of attorney by adjudication of incapacity, suspension by initiation of proceedings to determine incapacity, my death, or the occurrence of an event referenced in this durable power of attorney, the third party may act in reliance upon the authority granted in this durable power of attorney. c) A third party that has not received written notice hereunder may, but need not, require that my attorney in fact execute an affidavit stating that there has been no revocation, partial or complete termination, or suspension of the durable power of attorney at the time the power of attorney is exercised. A written affidavit executed by my attorney in fact under this paragraph may, but need not, be in the following form: IM by ATE OF. FLORIDA UNTY OF SEMINOLE BEFORE ME, the undersigned authority, personally appeared Affiant") who swore or affirmed that: Affiant is the attorney in fact named in the durable power of attorney executed Principal) on , 20_. 2. To the best of Affiant's knowledge.after diligent search and inquiry: a. the Principal is not deceased, has not been adjudicated incapacitated, and has not revoked, partially or completely terminated, or suspended the durable power of attorney; and I , • I . b. A petition to determine the incapacity of or to appoint a guardian for the Principal is not pending. 3. Affiant agrees not to exercise any powers granted by the durable power of attorney if Affiant attains knowledge that it has been revoked, partially or completely terminated, suspended, or is no longer valid because of the death or adjudication of incapacity of the Principal. Affiant Sworn and subscribed before me this day of , 20 , by Affiant) who is personally known to me. Notary Public My Commission expires: d) Third parties who act in reliance upon the authority granted to my attorney in fact hereunder and in accordance with the instructions of the attorney in fact will be held harmless by me from any loss suffered or liability incurred as a result of actions taken prior to receipt of written notice of revocation, suspension, notice of a petition to determine incapacity, partial or complete termination, or my death. A person who acts in good faith upon any representation, direction, decision, or act of my attorney in fact is not liable to me or to my estate, beneficiaries, or joint owners for those acts. e) My attorney in fact is not liable for any acts'or decisions made by him or her 7- in good faith and under the terms of the durable power of attorney. Notice. a) A notice, including, but not limited to, a notice of revocation, notice of partial or complete termination by adjudication of incapacity or by the occurrence of an event referenced in this durable power of attorney, notice of my death, notice of suspension by initiation of proceedings to determine incapacity or to appoint a guardian, or other notice, is not effective until written notice is served upon my attorney in fact or any third persons relying upon this durable power of attorney. b) Notice must be in writing and served on the person or entity to be bound by the notice. Service may be by any form of mail that requires a signed receipt or by personal delivery as provided for service of process. Service is complete when received by interested persons or entities specified in this section and in chapter 48, where applicable. In the case of a financial institution as defined in chapter 655, notice, when not mailed, must be served during regular business hours upon an officer or manager of the financial institution at the financial institution's principal place of business in Florida and its office where the power of attorney or account was presented, handled, or administered. Notice by mail to a financial institution must be mailed to the financial institution's principal place of business in this state and its office where the power of attorney or account was presented, handled, or administered. Except for service of court orders, a third party served with notice must be given 14 calendar days after service to act upon that notice. In the case of a financial institution, notice must be served before the occurrence of any of the events described in s. 674.303. 9. Damages and Costs. In any judicial action regarding this durable power of attorney, including, but not limited, to the unreasonable refusal of a third party to allow an attorney in fact to act pursuant to the power, and challenges to the proper exercise of authority by the attorney in fact, per statute, the prevailing party is entitled to damages and costs, including reasonable attorney's fees. 10. Validi . This durable power of attorney shall be non -delegable, except as to thq stock powers which may be delegated to a transfer agent per paragraph 1.f. hereunder, and shall be valid until such time as I shall die, revoke the power, or shall be adjudged totally or partially incompetent by a court of competent jurisdiction. I may revoke the power only by providing written notice to my Agent. All acts of my Agent taken or done without actual knowledge of (1) my death, (2) an adjudication of my incompetency, or (3) my revocation are valid and effective, and are hereby ratified and confirmed. 11. Revocation of Prior Instruments. By this instrument I hereby revoke any power of attorney, durable or otherwise, that I may have executed prior to the date of this durable power of attorney. I hereby confirm all acts of my attorney in fact pursuant to this power. IT 01 Any act that is done under this power between the revocation of this instrument and notice of that revocation to my attorney shall be valid unless the person claiming the benefit of the act had notice of that revocation. IN WITNESS WHEREOF, I have set my hand and seal on this /o--y- b Sday of October, kill" Signed, sealed and delivered in the presence of: JA %_jT1A ! / s .. 1 s STATE OF FLORIDA KENNETH W. LANDRESS COUNTY OF SEMINOLE Al The foregoing instrument was acknowledged before me this day of October, 2005, by KENNETH W. LANDRESS, and that I relied upon the following form of identification of the above -named person: ()Q Personally Known, OR ( ) Produced as identification James A. arks, Notary Public James A Barka; a My Commisslon DD053294korw.' E)Ores January 24, 2006 N