2543 Myrtle Ave 040-243 RoofPermit #:â
Job Address:
Description of Work:
Historic District:
CITY OF SANFORD PERMIT APPLICATION
24S Date: _
Zoning:
i
Value of Work:
Permit Type: Building R Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service â # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair â Residential or Commercial _
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction Type: /gaC'r r i/ocf Ntories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: (Attach Proof of Ownership & Legal Description)
Owners Name & Address: / D nI'Pi fh! t S
Contractor Name & Address:
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Address:
Phone:
State Licery y Number: j Q
Contact Person: ( 2t.Py C'1,C,-,i?(A L%4J Phone:
Phone:
Fax:
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 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.
en w ccepjancez0ft is veriftcaf n that,t will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
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Date Signature of Contractor/Agent Date
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o m Print r Agent's N Print Contractor/Agent's Name
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U W f Notary -State of Florida D to Signature of Notary -State of Florida Date
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Orter/Agent is er$pq Jjy Known to Me or Contractor/Agent is _ Personally Known to Me or
Produced [D J[ Z{s _Produced ID
APPLICATION APPROVED BY: Bldglom. Zoning:
Initial t< Date)
Special Conditions: / ) O
Initial & Date)
Utilities: FD:
Initial & Date) (Initial & Date)
CITY OF SANFORD BUILDING DIVISION
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 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.
1, , 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 law on the permitted structure.
A- //Z e-
Owner/BuAder Signature Date
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Pn ner udder Name NQQ
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of Notary -State of Flo ida Dat o a
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Owner is Personally Known to Me or has
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Produced ID P- ?2
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SPECIAL POWER OF ATTORNEY
The proponent of this form is the Staff Judge Advocate)
This is a MILITARY POWER OF ATTORNEY prepared pursuant to Title 10, United States Code, Section 1044b and executed by a person authorized to receive
legal assistance from the military services. Federal law exempts this power of attorney from any requirement of form, substance, formality, or recording that is
prescribed for powers of attorney under the laws of a state, the District of Columbia, or a territory, commonwealth, or possession of the United States. Federal law
specifies that this power of attorney shall be given the same legal effect as a power of attorney prepared and executed in accordance with the laws of the
jurisdiction where it is presented.
KNOW ALL PERSONS BY THESE PRESENTS:
That I, CW,1 1d AJ nt ALX J Social Security Number Zd 7 77 51' -7 of the State Jr e ip a
person eligible for Legal Assistance under the provisions of 10 United States Code, Section 1044a or regulations of the Department of Defense, do hereby
appoint C 11 161 i/yrj ni presently of f1l4rore'l G9 q as my true and
lawful attorney -in -fact to do the following acts or things in my name and in my behalf:
PG-'P G c i. f`c rlE // rr r7 420'4 9'4 f rC `l %%'4r7 i
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Giving and granting individually unto my said attorney full power and authority to do and perform every act that is necessary or appropriate to
accomplish the purposes for which this Power of Attorney is granted, as fully and effectually to all intents and purposes as I might and could do in my own person
if personally present; and in addition thereto, 1 do hereby ratify and confirm each of the acts of my aforesaid attorney lawfully done pursuant to the authority herein
above conferred.
This Power of Attorney shall become effective when properly signed and executed below. Further, unless sooner revoked or terminated by me, this
Power of Attorney shall become NULL and VOID on 'c "&L. %f ZoD
Notwithstanding my inclusion of a specific expiration date herein, if on the above -specified expiration date, or during the sixty (60) day period
preceding that specified expiration date, I am on active duty in the United States Armed Forces and I should be or have been determined by the United States
Government to be a military status of "missing," "missing in action," or "prisoner of war," then this Power of Attorney shall remain valid and in full effect until
sixty (60) days after I have returned to United States military control following termination of such status UNLESS OTHERWISE REVOKED OR TERMINATED
BY ME.
All business transacted hereunder for me or for my account shall be transacted in my name, and all endorsements and instruments executed by my
attorney for the purpose of carrying out the foregoing powers shall contain my name, followed by that of my attorney and the designation "attorney -in -fact."
IN WITNESS WHEREOF, I sign, seal, declare, publish, make and constitute this as and for my Power of Attorney in the presence of the Notary Public witnessing
it at my request this date, 27 DGy Jfits Zy 0 Signature
of Grantor) Printed
Name of Grantor) i V a r fâ˘`r FC
FORM 1099-2 (REV), 4 MAY 00 (Previous editions of this form and FC FORM 1099-3 (REV) are obsolete)
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1
I, the undersigned, certify that I am
y
a qualified, and authorized notary public. Before me personally, within the territorial limits of my warrant of authority,
appeared iJ- d' l 7""f 6p4Ul f who is known by me to be the person who is described herein, whose name is subscribed to,
and who signed this Power of Attorney as Grantor, and who, having been duly sworn, acknowledged that this instrument was executed after its contents were read
and duly explained, and that such execution was a free and voluntary act and deed for the uses and purposes herein set forth.
Military Notary)
WITH THE ARMED FORCES OF THE UNITED STATES
AT FORT CAMPBELL, KENTUCKY
Subscribed, swom to and acknowledged before me on ';L% titf U by X-0-44W i.on,PP GiriVi
the grantor, who is known to me to be eligible for Legal Assistance under the provisions of 10 United States Code, Section 1044a or regulations of the Department
of Defense. This acknowledgment is executed in my capacity as a Commissioned Officer under the authority granted by Title 10, United States Code, Section
1044a, which also states that no seal is required on this acknowledgment.
PRINTED NAME NI10L\J 7 0001A"X0r
SIGNATURE RANK/COMPONENT i -6 }
MY COMMISSION EXPIRES
INDEF AUTH 10 USC 1044A OFFICIAL CAPACITY rkr t -,'
j
1
Civilian Notary)
IN WITNESS WHEREOF, 1 have hereun
Notary Public
My Commission Expires:
PAGE 2, FC FORM 1099-2 (REV), 4 MAY 00
Seminole County Property Appr;dser Get Information by Parcel Number Page 1 of 1
PARCEL DETAIL Back p
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1SeminoleCounty
i°PcMiY Pniser m
c0trykes
1101 K. Pirat St.
Sanford F1.32771 i
407-665-7 Sft
2004 WORKING VALUE SUMMARY
Value Method: Market
GENERAL
Number of Buildings: 1
Parcel Id: 01-20-30-504-0200-0050 Tax District: S1-SANFORD
Depreciated Bldg Value: $121,847
Owner: DAVIS RONALD J Exemptions:
Depreciated EXFT Value: $0
Address: PO BOX 2892
Land Value (Market): $8,748
City, State,Zi pCode: SANFORD FL 32772
Land Value Ag: $0
Property Address: 2543 MYRTLE AVE SANFORD 32773
Just/Market Value: $130,595
Subdivision Name: DREAMWOLD AND
Assessed Value (SOH): $130,595
Dor: 08-MULTI FAMILY LESS TH
Exempt Value: $0
Taxable Value: $130,595
SALES
Deed Date Book Page Amount Vac/Imp
WARRANTY DEED 11/1996 03164 1030 $104,500 Improved 2003 VALUE SUMMARY
WARRANTY DEED 07/1988 01978 1422 $100 Improved 2003 Tax Bill Amount: $2,738
WARRANTY DEED 11/1985 01686 0896 $160,000 Improved 2003 Taxable Value: $131,250
QUIT CLAIM DEED 03/1984 01529 1954 $100 Vacant
Find Comparable Sales within this Subdivision
LAND LEGAL DESCRIPTION PLAT
Land Assess Frontage Depth Land Units Unit Price Land Value LEG S 47.46 FT OF LOT 5 & N 25.88 FT OF LOT 6
Method BLK 2 DREAMWOLD
SQUARE FEET 0 0 9,720 .90 $8,748 PB 4 PG 30
BUILDING INFORMATION
Bid Num Bid Type Year Bit Fixtures Gross SF Heated SF Ext Wall Bid Value Est. Cost New
1 MULTI FAMILY 1985 24 4,472 3,848 CB+WOOD COMBO $121,847 $131,018
Appendage / Sgft SCREEN PORCH FINISHED / 91
Appendage / Sgft OPEN PORCH FINISHED / 130
Appendage I Sqft SCREEN PORCH FINISHED / 91
Appendage / Sgft UPPER STORY FINISHED / 1924
Appendage / Sgft SCREEN PORCH FINISHED / 91
Appendage / Sgft OPEN PORCH FINISHED / 130
Appendage / Sgft SCREEN PORCH FINISHED / 91
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 our next ear's properly tax will be based on Just/Market value.
re_web.semi nole_county_title?parcel=01203050402000050&cpad=myrtle&cpad_num=2510/30/2003