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801 Santa Barbara Dr; 17-2046; ROOFf' JULQ,2017 `, F CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: 1-7-2-0 W(a Documented Construction Value: $ U Job Address: ( f ! 1)r" %,c Historic District: Yes No Parcel ID: Residential Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move C / n i . 1 _ Description of Work: r Ga-r Plan Review Contact Person: Title: Phone: Fax: Email: Ve U(A I t Ve(cc Z?J62Property Owner Information Name -o 1 Y a Street: 6 ©( S Gn f a l2Gt,iLa City, State Zip: SCke &4 j El Phone: ' 32f 202 2 Resident of property? : Contractor Information Name Phone: . Street: Fax: City, State Zip: State License No.: Architect/ Engineer Information Name: Phone: Street: Fax: City, St, Zip: Bonding Company: Address: 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: 5f' 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 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. 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 conmlitknce with all applicable laws regulating construction and zoning. Oginature ofOwner/Agent Date Signature of Contractor/Agent Date Print Contractor/Agent's Name Signature of Notary -State of Florida Date Owner/ Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or Produced ID Type of ID C /-d Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required Construction Type: Total Sq Ft of Bldg: Building Electrical Mechanical Plumbing Gas[] Roof Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No APPROVALS: ZONING: ENGINEERING: COMMENTS: of Heads UTILITIES: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures, Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: $ 000 dC) Job Address: f ao s" J i cr !,,wt Historic District: Yes No Parcel ID: 0?-20•--36 Dq Residential Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: %? - W' a4, 2 S55uv,,z -L ,KO c n e' ,1k le:S 9117 ,0 4t 77 s1uc<c% F).c+f644 CIJ)4 4:ec-ki,-1-ecd Plan Review Contact Person: Phone: Fax: Title: Email: Property Owner Information Name N Uci)1 U4-dc[5uCz Street: D J S.:',J,, City, State Zip: J . E& 1-2273 Phone: Resident of property? : Contractor Information Name li wrier yr lt?u '''QJc.25 fJe _ Street: S*, City, State Zip: 4 J , R— 1 Name: Street: City, St, Zip: Bonding Company: Address: 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'h Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application SCPA Parcel View: 01-20-30-504-2100-0250 Page 1 of 2 Property Record Card Parcel: 01-20-30-504-2100-0250 Owner: VELAZQUEZ NEVALI & MORALES LEIVA ETAL woetsouvrn scoo .. { Property Address: 801 SANTA BARBARA CfZ 5ANFORD, FL 32773 Value Summary 2017 Working 2016 Certified Values Values Valuation Method Cost/Market CosVMarket Number of Buildings 1 1 C Depreciated Bldg Value 36,938 33,710 Depreciated EXFT Value 400 — 400 _ Land Value (Market) 18 000 18 000 Land Value Ag JustMarhet Value 55338 52110 Portability Adj Save Our Homes Adj 0 0 Amendment 1 Adj 0 340 P& G Adj 0 0 Assessed Value 55,338 51,770 Tax Amount without SOH: $1,040.00 2016 Tax Bill Amount $1,040.00 Tax Estimator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOTS 25 + 26 BLK 21 i DREAMWOLD i PB3PG90 Taxes i Taxing Authority Assessment Value1 Exempt Values Taxable Value County General Fund 55,338 0 $55,338 ( ' Schools 55,338 0 $55,338 CitySanford 55,338 0 $55,338 SJWM(Saint Johns Water Management) 55,338 0 $55 338 i County Bonds 55,338 0 $55,338 Sales Description Date Book Page TAmount Qualified VaGlmp CERTIFICATE OF TITLE 7/1/2016 C8727 1585 42 500 No Improved SPECIAL WARRANTY DEED 7/1/2016 j 08734 1819 60,000 Yes Improved i QUIT CLAIM DEED 7/1/2007 06796 1159 100 I No Improved WARRANTY DEED 6/1/2003 04918 0872 65 000 t Yes f Improved I WARRANTY DEED 6/1/1998 C34n5 0008 19 100 No j Improved I QUIT CLAIM DEED 3/1/1979 31i16 0643 100 j No l Improved WARRANTY DEED 1/ 1/1977 C 01129 1498 27 000 Yes Improved I r.. -..... Find ompamble Sales i f Land Method Frontage i Depth j Units Units Price Land Value LOT j.._._..._..._...__.__..___.._._-_._____..;._.__..__........._.__---..._______. 0. 00 0. 00 , 1 18_.____...000 00 18'0000 ( j Building Information http:// parceldetail.scpafl. org/ParcelDetailInfo.aspx?PID=01203050421000250 5/19/2017 14abtie2Yab» ti52 >'p p qe FL17194 li@V15r3At1 2014' us bv ti ttrer .. Robetez7 9.rg `lCerrq-Ta terrytali https: l/wwt` ,flgn https:l/wwt` ,flgn THIS INSTRUMENT PREPARED BY: Name: Robert H. Shoemaker Address: PO Box 522610 Longwood. FL 32752 NOTICE OF COMMENCEMENT State of Florida County of Seminole Permit Number: li%'iL..i,ii _ t•i ii_iF Ci]iJNT"I' OF :1;t: i11:0('l'Tftl Li_ER BK iC.:LERV S v 2017OLSL84 IREC'ORDf:D 11f 71f:1 'II,(,'' 0?'5'2=15 i'i'I BEES R1::i:..01- ;{ED B ii h.ia ore. Parcel ID Number: 01-20-30-504-2100-0250 The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) 801 Santa Barbara Drive Sanford FL 32773 LOT 25 + 26 BLK 21 DREAMWORLD PB 3 PIS 90 GENERAL DESCRIPTION OF IMPROVEMENT: Reroof OWNER INFORMATION: Name: Nevali Velazquez Address: 801 Santa Barbara Drive Sanford, FL 32773 Fee Simple Title Holder (if other than owner) CONTRACTOR: Name: Nevali Velazquez Address: 801 Santa Barbara Drive Sanford, FL 32773 Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(b), Florida Statutes. Name: In addition to himself, Owner Designates of To receive a copy of the Lienor's Notice as Provided in Section 713.13(1)(b), Florida Statutes. Expiration Date of Notice of Commencement (The expiration date is 1 year from date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalt' jury, I declare that I have read the foregoing and that the facts stated in it are true to the best P. my k ledge and belief. 5i5h Nevali Velazquez t e igrkitdre Owners Printed Name Florida Statute 713.13(1)(g): "The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead State of Countyof The foregoing instrument was acknowledged before me this a ' f day of 20 / i 1 <C 3'k.U l) UE.Q-Z. U't`Z Wh II k byorspersonaynown to me I a o Name of person making statement ` .ice t OR who has produced identification type of identification produced: 15 tr JOEL HANCOCK _ ' Slib NOTARYPUBLIC, STATE OF FLORIDA 2 m# FF224497 Notary SignatureExpires4/27/2019ROA 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 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. 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 lease. If a building or residence that I have built or substantially improved myself is sold or leased within in I year after the construction is complete, 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. I understand that I may not hire an unlicensed individual person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the licenses required by law and by city ordinance. 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. I, 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 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 I agree that, as the party legally and financially r sponzible 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 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 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 I 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 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 J V coverage. Property Address: TO / Q [ Cc 1 q }"Q Et1 `c I, il Ve,fi,?.q,.. e 2 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. Z J Cg 6 Signature of wner-Builder Date Form of Identification A-e Q 7—2 N'w(ICJ I Must be Photo ID) 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