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HomeMy WebLinkAbout1011 W 12 StPermit No.: CITY OF SANFORD PERMIT APPLICATION Date: Job Address: -MCI ln/EsY Permit Type: Building Electrical Mechanical Plumbing Fire Alarm/Sprinkler Description of Work: r Additional Information for Electrical & Plumbing Permits Electrical: Addition/Alteration _Change of Service _Temporary Pole _New AMP Service (# of AMPS ) Plumbing/Resideutial: Addition/Alteration New Construction (One Closet Plus Additional) Plumbing/Commercial: Number of Fixtures Number of Water & Sewer Drainage Lines Number of Gas Lines Occupancy Type: _Residential Commercial _ Industrial Total Sq Ftg: Value of Work: $ UDr> Type of Construction: Flood Zone: Number of Stories: Number of Dwelling Units: Parcel No.: (Attach Proof of Ownership & Legal Description) Owner/Address/Phonw, /(5/&- L t464e �R TL���� G ZL Contractor/Address/Phone: Contact Person: Tidi.Holder (If other than Owner): Address: Bonding Company: Address: Mortgage Lender:_ Address: ArchiteatEngineer Address: State License Number: Phone & Fax Number: Phone No.: Fax No.: 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 regords 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 permit is verification that 1 will notify the owner of the property of the requirements of Florida Lien Law, FS 713. Signa a of Owner/Agent Date ,- 1lYs ES t wner/Agent's. e gn a of Notary -State of Florida Date WR f,MIAS.0 # � EVIREVOWbOl 1Z 05 Signature of Contractor/Agent Date Print Contractor/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personallyown to Me or Contractor/Agent is Personally Known to Me or oduced IDL , e Produced ID APPLICATION APPROVED BY: Date: U� Special Conditions: CITY OF SANFORD BUILDINGDIVISION 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 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 1 year after the construction is complete, the law will presun:je that. you built or substantially improved it for sale or lease, which is a violation of tlus exemption. You roay not hire an unlicensed person to act as your contractor or to supervise people working on your buildling. 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, 5 ES `24411, gS , do hereby state that I am qualified and capable of performing the reque ted 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. Owner is Personall , Known to Me or has Produced 1D F117L Sad Ri -) _Lw, (-(U%0 Owner uilder SignatureDatea o, y X Print ner/Builder Name, m m N T s... S19-na re of Notary—State of Florida Date .Z C iii Owner is Personall , Known to Me or has Produced 1D F117L Sad Ri -) _Lw, (-(U%0 Pia L 0 DEMOLITION 'Building Division Acknowledgement A. Permit Application B. State Forms C. State Statutes/Contractor Licensing Public Works Acknowledgement A. Sidewalk Closing B. Street Use/Closing 1. Walkways — Protection — Width 2. Barricades — Protection — Width 3. Fencing — Protection — Width - Height 4. Curb Protection/Sidewalk Protection/Street 5. Storm• Sewer Protection C.' Dust Control Police Department Acknowledgement A. -Traff c Control . B. Crowd Control/Security Utility Department Acknowledgement A. Water, Sewer — Capped off, Sealed B. Water for Dust Control (Meter) Engineering & Planning Acknowledgement A. Historic District B. Zoning Issues Address of Job: \0\\ Additional Comments: 012 Flip 04/03/2003 09:52 4073022540 SANFORD PD S—ecd-00-S jcb/VM FROM DEMOLITION Building Division Acknorviedgement A. Permit Application B. State Forms C. State StatutcafCOntractor Uc ening Public Works Acknowledgement A. Sidewalk Closing B. Street Use/Closing 1. Walkways - Protection .- Width 2. Barricades - Protection - Width 3. Fencing - Protection - Width - Height 4. Curb Protec tiOWSidewalk Protection/Street 5. Storm Sewer Pratection •.�. Aust Control Police Department Acknowledgemu+t A. Traffic Ccomral B. Crowd Con"Llsewrity Utility Department Acknowledgement A. Water, Sewer - Capped WX Sealed B. Water far Dust Control (.Neter) PAGE 01 P. f Engineering & Planning Acknowledgement A. Historic District B. Zoning Issues AcldrM Of Joh: Additional Comments: DEMOLITION Building Division Acknowledgement A. Permit Application B. State Forms C. State Statutes/Contractor Licensing Public Works Acknowledgement A. Sidewalk Closing B. Street Use/Closing 1. Walkways — Protection — Width 2. Barricades — Protection — Width 3. Fencing — Protection — Width - Height 4. Curb Protection/Sidewalk Protection/Street 5. Storm Sewer Protection C_ .Dust Control Police Department Acknowledgement A. 'Traffic Controi B. Crowd ControUSecurity Utility Department Acknowledgement A. Water, Sewer — Capped off, Sealed B. Water for Dust Control (Meter) Engineering & Planning Acknowledgement A. Historic District B. Zoning Issues Address of Job: \�\ Additional Comments: DEMOLITION Building Division Acknowledgement A. Permit Application B. State Forms C. State Statutes/Coniractor Licensing Public Works Acknowledgement A. Sidewalk Closing B. Street Use/Closing 1. Walkways — Protection — Width 2. Barricades — Protection — Width 3. Fencing — Protection — Width - Height 4. Curb Protection/Sidewalk Protection/Street S. Storm. Sewer Protection C_ Dust Control Police Department Acknowledgement A. Traffic Control B. Crowd ContrOUSecurity Utility Department Acknowledgement A. Water, Sewer.— Capped off, Sealed B. Water for Dust Control (Meter) Engineering & Planning Acknowledgement A. Historic District B. Zoning Issues Address of Job: Additional Comments:�\'`� 3 Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1 PARCEL DETAIL 1 '' RA W.12TH 2003 WORKING VALUE SUMMARY GENERAL Value Method: Market Parcel Id: 25-19-30-511-0000-0020 Tax District: Si -Number SANFORD of Buildings: 1 Depreciated Bldg Value: $15,427 RAINES ULYSSES & Owner: MARY Exemptions: Depreciated EXFT Value: $0 Address: 25 GABRIEL AVE Land Value (Market): $8,010 City,State,ZipCode: MAITLAND FL 32751 Land Value Ag: $0 Property Address: 1011 12TH ST W Just/Market Value: $23,437 Subdivision Name: STENDIFORDS ADD Assessed Value (SOH): $23,437 Dor: 01 -SINGLE FAMILY Exempt Value: $0 Taxable Value: $23,437 SALES 2002 VALUE SUMMARY Deed Date Book Page Amount Vac/Imp 2002 Tax Bill Amount: $481 CERTIFICATE OF TITLE 03/1984 01535 1681 $100 Improved 2002 Taxable Value: $22,701 Find Comparable Sales within this Subdivisia LAND Land Assess Method Frontage Depth Land Unit Land LEGAL DESCRIPTION Units Price Value LEG LOTS 2 + 3 STENDIFORDS ADD PB 1 PG 110 FRONT FOOT & 100 117 .000 90.00 $8,010 DEPTH BUILDING INFORMATION Bid Num Bid Type Year Bit Fixtures Gross SF Heated SF Ext Wall Bid Value Est. Cost New 1 SINGLE FAMILY 1935 3 1,429 1,144 SIDING AVG $15,427 $32,478 Appendage / Sgft UTILITY UNFINISHED / 49 Appendage / Sgft SCREEN PORCH UNFINISHED / 77 Appendage / Sgft ENCLOSED PORCH UNFINISHED / 63 Appendage / Sgft SCREEN PORCH UNFINISHED/ 96 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 Just/Market value. http://www. scpafl-orglpls/weblre_web. seminole_county_title?parcel=25193051100000020,... 4/10/2003