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611 Hickory Av 04-411 RoofCITY OF SANFORi FERMP YAPPLICATION Permit # Job Address: Description of Work: &2CZ Historic District: Zoning: Value of M Permit Type: Building _1X1 Electrical Mechanical Plumbing Date: l Fire Sprinkler/Alarm Pool Electrical: New Service — # 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 — Residential or Commercial _ Occupancy Type: Residential A Commercial Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: ( Attach Proof of Ownerships& Legal Description) Owners Name & Address: (, e [i a• SbI VI U Q/i /J ( t t nar t'1 Q J .SQ61T 1fc1` T( 327? I Phone: LEI - 31 Ll^H- q_ Contractor Name & Address: f - n l .e, e Q _ , • c `F in t,a-tom 5 2 State License Number: / Phone & Fax: t",_31 y-/, S 3o (%S Contact Person: h /Ol1P Phone: Bonding Company: Address: Mortgage Lender: Address: Architect/ Engineer: Phone: Address: 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 requir ents of this permit, th re may be additional restrictions applicable to this property that may be found in the public records of this countyI there may add i nal permits required m other governmental entities such as water management districts, state agencies, or federal agencies. AcceptancerQt is veri atio that I otify the o ner of the property of the requirements of Florida Lien Law, FS 713. ay' * Ng: D V / gnature of Owner/Agent Date Signature of Contractor/Agent Date so9% o cam Print Contractor/Agent's Name PrinNamea v to ElQM re of Nora e of Flori Dat Signature of Notary -State of Florida Date C', an o Q5 O ner/Agent is Personal1 K own to Me or Contractor/Agent is _ Personally Known to Me or o Produced ID _ Produced ID c wr APPLICATION APPROVED BY: Bldg: 1 Zoning: Utilities: nitial & Date) (Initial & Date) Special Conditions: FD: Initial & Date) (Initial & Date) wmanrsr a.-rtr. t CITY OF • ' 1 BUILDING DIVISION JgSIp {. 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 dgect, 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, b o Aej 5, ri,1[wA 11 Sn- , 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 al wed by law the p fitted s ture. Owner/Builder Signature Date `•dis" No rrrrir Print Owner/Builder Name m Signature of otary— ate orid Date Owner is Personally Known to Me or has w Produced ID Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 2 PARCEL DETAIL t Q Back T 0 1 1 Seminole County a w i k Aver rt rmir r V c irrictr m 1 101 K, First St. Anford Fl. 32771 E 7TH ST40,nS73116 2004 WORKING VALUE SUMMARY GENERAL Value Method: Market Parcel Id: 25-19-30-5AG-080D-0080 Tax District: Si -Number SANFORD of Buildings: 1 Depreciated Bldg Value: $33,189 SOUTHWARD LIONEL & Owner: VERONICA Exemptions: Depreciated EXFT Value: $686 Address: 607 HICKORY AVE Land Value (Market): $4,984 City,State,ZipCode: SANFORD FL 32771 Land Value Ag: $0 Property Address: 611 HICKORY AVE SANFORD 32771 Just/Market Value: $38,859 Subdivision Name: SANFORD TOWN OF Assessed Value (SOH): $38,859 Dor: 01-SINGLE FAMILY Exempt Value: $0 Taxable Value: $38,859 SALES Deed Date Book Page Amount Vac/Imp 2003 VALUE SUMMARY WARRANTY DEED 02/2000 03986 1012 $1,500 Improved 2003 Tax Bill Amount: $824 QUIT CLAIM DEED 06/1994 02790 1283 $100 Improved 2003 Taxable Value: $39,510 QUIT CLAIM DEED 04/1994 02769 1214 $29,500 Improved DOES NOT INCLUDE NON -AD VALOREM PROBATE RECORDS 04/1994 02758 1072 $100 Improved ASSESSMENTS Find Comparable Sales within this Subdivision LAND LEGAL DESCRIPTION PLAT Land Assess Method Frontage Depth Land Unit Land LOT 8 (LESS N 8FT) BLK 8 TR D TOWN OF Units Price Value SANFORD FRONT FOOT & 56 117 .000 100.00 $4,984 PB 1 PG 56 DEPTH BUILDING INFORMATION Bid Num Bid Type Year Bit Fixtures Gross SF Heated SF Ext Wall Bid Value Est. Cost New 1 SINGLE FAMILY 1949 3 1,492 1,132 CB/STUCCO FINISH $33,189 $52,061 Appendage / Sgft OPEN PORCH FINISHED / 24 Appendage / Sgft SCREEN PORCH FINISHED / 120 Appendage / Sgft UTILITY FINISHED / 20 Appendage / Sgft CARPORT FINISHED / 196 EXTRA FEATURE Description Year Bit Units EXFT Value Est. Cost New ALUM PORCH W/CONC FL 1980 264 $686 $1,716 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 property tax will be based on Just/Market value. re_web.seminole_county_title?parcel=2519305AG080D0080&cpad=hickory&cpad_num=11 / 18/2003