HomeMy WebLinkAbout2400 Marshall AveCITY OF SANFORD PERMIT APPLICATION
Pertnit #: 0 U r...
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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 °+
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Pllir a r .. rS `a,;
Print OwnerB ' der Name .r
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Seminole County Property Appraiser Get Information by Parcel Number Page I of I
DAYM JOHN
P 'PERTYRO
PPRAISEA 6R
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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.
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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
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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
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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
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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
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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