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161 Orion Way 17-1636; FENCECITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION JUN 5 2017 } Application No: J io 1BYIO (p? 22 Documented Construction Value CJoliAddress: Qr!'6'7, 9 Historic District: Yes No Parcel ID: Residential Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description-of=Wor-k: 79J 041 5'®4ef m H bo F7? sr s t) k . v ,,w. s Gv h '- ,off C_ ¢ Plan Review Contact Person: Title: n o Phone: Fax: Email: Proper_ty=O:w.n.er-_I:nfor m_ . at on Name c,, /"( e,,r -a ' Phone: Street: U/ %'/?/i Gifu, Resident of property? : Al V City, State Zip: Name Street: City, State Zip: Name: Street: City, St, Zip: Bonding Company: Address: Contractor Information Phone: Fax: State License No.: Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 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. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5' Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property tflat 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 permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. 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. Signature of Owner/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date• Elv 0M\.4iSS. f rF 178648 RES: Febivary 25, 2019 Thru Notary Public Undenvrilcrs Owner/Agent is Personally KDo wn to Me or Produced ID Type of ID _ IJ e,v- 9Iif] Signature of Contractor/Agent Date Print Contractor/Agent's Name Signature of Notary -State of Florida Date Contractor/Agent is Personally Known to Me or Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas Roof Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: UTILITIES: ENGINEERING: UkCOMMENTS: to Coo f `c uCt nkown dVI k P,,rp(N ImL- I0S4-(A CQ(t 8t( a ,00 Revised. June 30, 2015 FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Tb r tl r iU d Cctf'2 S . 1 Permit Application OWNER BUILDER STATEMENT/AFFIDAVIT Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford, Seminole County, Winter Springs Florida Statutes are quoted here in part for your information to indicate the authority for exemptions for homeowners from qualifying as contractors and to express any applicable restrictions and responsibilities. OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DIVISION TO SIGN THIS DOCUMENT BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement) I understand that state law requires construction to be done by a licensed contractor and have applied for an owner -builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a ly license. I understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. I understand that, as an owner -builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that a contractor is required by law to be licensed in Florida and to list his or her license numbers on all permit and contracts. U / I understand that I may build or improve a one -family or two-family residence or a farm outbuilding. I may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my own use or occupancy. It may not be built or substantially improved for sale or Y lease. If a building or residence that I have built or substantially improved myself is sold or leased within6in1yearaftertheconstructioniscomplete, the law will presume that I built or substantially improved it for sale or lease, which violates this exemption. I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. understand that I may not hire an unlicensed individual person to act as my contractor or to supervise IIpersons working on my building or residence. It is my responsibility to ensure that the persons whom I have the licenses required by law and by city ordinance. om®(employf I understand that it is a frequent practice of unlicensed persons to have the property owner obtain an owner -builder permit that erroneously implies that the property owner is providing his or her own labor and materials. 1, as an owner -builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner - builder and am aware of the limits of my insurance coverage for injuries to workers on my property. I understand that I may not delegate the responsibility for supervising work to a licensed contractor who is t not licensed to perform the work being done. Any person working on my building who. Is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers' compensation for the employee. I understand that my failure to follow these laws may subject me to serious financial risk. Rev. 9.14.2009 l I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern owner -builders as well as employers. I also understand that the construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. I am of aware of construction practices and I have access to the Florida Building Codes. I I understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, the Florida Department of Financial Services, and the Florida Department of Revenue. I also understand that I may contact the Florida Construction Industry Licensing Board at 1-850-487-1395 or at www.myflorida.com/dbpr/pro/cilb/ for more information about licensed contractors. I am aware of, and consent to, an owner -builder building permit applied for in my name and understand q that I am the party legally and financially responsible for the proposed construction activity at the address listed below. I agree to notify the building department immediately of any additions, deletions, or changes to any of the information that 1 have provided on this disclosure or in the permit application package. Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Construction Industry Licensing Board, the Department of Business and Professional Regulation and the building department may be unable to assist you with any financial loss that you sustain as a result of a complaint. Your only remedy against an unlicensed contractor may be in J civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is property licensed and the status of the contractor's workers' compensation coverage. Property AddreGl ®/" f!0 hG Y'C-4, o weyc4 4 i-?/- - , do hereby state that I am qualified and capable of performing the requested construction involved with the permit application filed and agree to the conditions specified above. nature of Owner -Builder Form of Identification Must be Photo ID) Date A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment not exceeding 1 year and a $1,000.00 fine in addition to any civil penalties. In addition, the local permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy for unlicensed activity against the owner and any person performing work that requires licensure under the permit issued. Rev. 9.14.2009 SCPA Parcel View: 02-20-30-520-0000-0630 Page 1 of 2 Property Record Card P iil san Parcel: 02-20-30-520-0000-0630 AAAR'% Owner: MERCADO PEDRO JR & MERCADO MINERVA tht.YJ(x.i'(X]4,NIY FL(XlN1M1 Property Address: 101 ORION WAY SANFORD, FL 32773 Parcel Information Value Summary Parcel 02-20-30-520-0000-0630 Owner MERCADO PEDRO JR & MERCADO MINERVA Property Address 101 ORION WAY SANFORD, FL 32773 Mailing 101 ORION WAY SANFORD, FL 32773- Subdivision Name PLACID WOODS PH 1 Tax District S1-SANFORD DOR Use Code 01-SINGLE FAMILY m Exemptions 00-HOMESTEAD(2011) LOJ a Land Seminole County GIS 2017 Working 2016 Certified Values Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value i $100,936 86,313 Depreciated EXFT Value 4 $ 951 1,001 Land Value (Market) 25,000 18,000 Land Value Ag Just/Market Value " 112266,887 T 105,314 Portability Adj Save Our Homes Adjmm 53,713 33,645— Amendment 1 Adj P&G Adj 0 0 Assessed Value I $73,174 71,669 Tax Amount without SOH: $1,054.00 2016 Tax Bill Amount $543.00 Tax Estimator Save Our Homes Savings: $511.00 Does NOT INCLUDE Non Ad Valorem Assessments Method Frontage Depth Units Units Price Land Value LOT j 1 25,000.00 25,000 Building Information L http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=02203052000000630 6/5/2017 LEGAL DESCRIPTION: LOT 63, PLACID WOODS, PHASE ONE, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 51, PAGE(S) 23-29, OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA. 101 ORION WAY SANFORD, FL. CENTURION TITLE GROUP, INC. Long Surveying, Inc. Specialising in Residential Surveying" LB No. 7371 1061 S. Sun Dr. Ste. #1113 Lake Mary, FL 32746 Office 407-330-9717 or 407-3-30-9716 Fax 407-330-9775 i4'YV{V.long.4llr'Ve ,itig.COtlt DRAWN BY.- CHECKED BY.• MP BRETT CERTIFIED TO: PEDRO MERCADO, JR. & MINERVA MERCADO CENTURION TITLE GROUP, INC. OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY FBC MORTGAGE, LLC. COMMUNITY NO: 120294 PANEL: - SUFF7X. F.LR.M. DATE. 0070 F 09/28/07 FLOOD ZONE.• SURVEY NO. FIELD DATE 80947 05/01 /17 E.O.P. ound al y 5u vzy OR/OrN WA Y— i (40' R/W) I I I CURVE TABLE (P) CURVE RADIUS LENGTH DELTA C-1 25, 00' 1 39.27' 90100'20" CURVE TABLE (C) CURVE RADIUS LENGTH DELTA C-1 25.00' 1 40. 05' 91 47'01 " A/C — AIR CON0177ONER AX — ALLEY EASEMENT B.C. — BLOCK CORNER BLK — BLOCK CB. — CONCRETE BLOCK C.B.S. — CONCRETE BLOCK STRUCTURE CM. — CONCRETE MONUMENT CONC — CONCRETE D — DEED O.E. — DRAINAGE EASEMENT E.O.P. — EDGE OF PA DEMENT F.CC — FOUND CROSS CUT F.F.E. — F7NISH£D FLOOR ELEVA77ON FND — FOUND ID. — IDENT7F7CA 77ON LP. — IRON PIPE I.R. — IRON ROD I.R.C. — IRON ROD & CAP L — ARC LENGTH LB. — LAND SURVEYING BUSINESS L.S. — LAND SURVEYOR LE. — LANDSCAPE EASEMENT M — MEASURED M.E. — MAINTENANCE EASEMENT N&D — NAIL AND DISK P — PUT P.E. — PEDESTRIAN EASEMENT P.0 — POINT Or CURVATURE P.C.C. — POINT Or COMPOUND CURVATURE P-CP. — PERMANENT CONTROL POINT P.l. — POINT OF INTERSEC77ON P.O.B. — POINT OF BEGINNING P.O.C. — POINT OF COMMENCEMENT P.O.L. — POINT ON LINE P.R.C. — POINT OF REVERSE CURVE P.R.M. — PERMANENT REFERENCE MONUMENT P.D.A.E. — PRIVATE DRAINAGE AND ALLEY EASEMENT P.T. — POINT OF TANGENT R — RADIUS RAW — R16Hr OF WAY S/W —.SIDEWALK U.E — U77LITY EASEMENT W.F.S — WOOD FRAME STRUCTURE RICH T--OF— WAY LINE CENTERLINE x BARB WIRE FENCE 5— WOOD FENCE CHAIN LINK FENCE PLAS77C FENCE BEARINGS SHOWN HEREON ARE BASED UPON THE R/W LINE OF ORION WAY BEING S8976'12'E PER PLAT NOTES 1) This survey Is based on the legal description as provided by the Client 2) This Surveyor has not abstracted the land shown hereon for easements, rights of way or restrictions of record which may affect the title or use of the land 3) DO not reconstruct property /Ines from bu/Id/ng fles 4) No footing or overhangs have been located except as shown 5) No Improvements or utflities have been located except as shown 6) Not valid without a signature and the authenticated electronic seal or the original raised sea/ of a norlda licensed Surveyor and Mapper Cerf/ficaflon: I certify that this survey was made under my direction and that It m QQta, th0, Inhnum technical standards set forth by the_Ml o,LP pnal Land Surveyors and Mappers In Chap TrIr zQ 3tlp Adminlstrotlm Code, pursuant,'tA eGtl6h5'2 vrldo Statutes. y No. 5910 o __ STA = / o fORIOP •'2o yT LEON L. HAMPTONEV P.S.M. NO. 5910