2434 Palmetto Ave - E18-003019 - Meterr
CITY OF
ig JUL 1 0 2016 PERMIT APPLICATIONANFORDBUILDINGDIVISION 019ApplicationNo:
0
Documented Construction Value: S VO • 0
Job Address: Z C/ 3 Y 10AL .i E?TB Ali,C Historic District: Yes No
Parcel ID: Residential 0 Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: 11 F_ 7 ZW e- 4 w 0 o It
Plan Review Contact Person: Title:
Phone: YO % —gg 8 -.Z2 S %Fax: Email:J,_/3iQ D C G 9,Yoo, GoM
Property Owner Information
Name C/qR L D .(/ E' W %D 41 Phone: q o 7 - YSI? - .T g 5-
Street: 10A/_ M6TTO ,v 2y / Resident of property?: p v.c Q
City, State Zip: 50. ,4,9 R ,o IL /9
Contractor Information
Name Phone:
Street: Fax:
City, State Zip: State License No.:
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: Mortgage Lender:
Address: 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.
Revised: June, 2018 Permit Application
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 61 Edition (2017) Florida Building C'Gde
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that maybe 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 ofthe job at the time ofsubmittal. 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.
ZT Q 701 o/z o / g Signature
of Owner/Agent Date Signature of Contractor/Agent Date Print
f6wnar/Agent's Name Print Contractor/Agent's Name I
201 Signature
of Notary -State of Florida Date BLAND
tate
of GG
06s Jane
or Contractor/Agent is Personally Known to Me or Type
of ID Produced ID Type of ID BELOW
IS FOR OFFICE USE ONLY Permits
Required: Building Electrical Mechanical Plumbing Gas Roof Construction
Type: Occupancy Use: Total
Sq Ft of Bldg: Min. Occupancy Load: Flood
Zone: of
Stories: New
Construction: Electric - # of Amps Plumbing - # of Fixtures Fire
Sprinkler Permit: Yes No # of Heads APPROVALS:
ZONING: ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Fire
Alarm Permit: Yes No WASTE
WATER: BUILDING:
Revised:
June, 2018 Permit Application
SCPA Parcel View: 36-19-30-541-0000-0580 Page 1 of 2
A—&—h—m--ni—CIA Property Record Card
Parcel: 36-19-30-541-0000A580
ottu nvqqr Property Address: 2434 PALMETTO AVE SANFORD, FL 32771
i Parcel Information
Parcel. 36.19-30.541-0000.0580
Owner(s) 14EWTON. CARL D
Property Address 2434 PALMETTO AVE SANFORD, FL 32771
Mailing 2434 S PALMETTO AVE SANFORD, FL 32771-4400
Subdivision Name PINE HEIGHTS
Tax District S1-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions 00-HOMESTEAD(1899)
L
Legal Description
LOT 58
PINE HEIGHTS
PB3PG51
GIS
Value Summary
2018 Working
Values
2017 Certified
Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 78,687 70,883
Depreciated EXFT Value t $600 600
Land Value (Market) 18,470 `1 $17,848
Land Value Ag
JusUMarket Value " E98,757 589,331
Portability Adj
Save Our Homes Adj 24,732 576,829
Amendment 1 Adj O
P&G Adj 50 S0
Assessed Value 74,025 72,502
Tax Amount without SOH: $913.14
2017 Tax Bill Amount $623.86
Tax Estimator
Save Our Homes Savings: $289.28
Does NOT INCLUDE Non Ad Valorem Assessments
saxes
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 74,025 ' 49,0251 E25,000
Schools 74,025 25,000 ' 49,025
City Sanford 74,025 • 49,025 • 525,000
SJWM(Saint Johns Water Management) 74,025 i 49,025 i 25,000
County Bonds 74,025 1 49,025 , E2500
Description
Find
Date Book Page Amount Qualified Vac/Imp
QUIT CLAIM DEED 5/1/2012 07778 t 0451 23,200 1 No Improved
WARRANTY DEED 1l1/1998 103356 1973 58,500 I Yes Improved
WARRANTY DEED 7111/1986 01793 0828 43,000 ;Yes i Improved
WARRANTY DEED 611/1982 01400 1089 78,300 No Improved
WARRANTY DEED 1/1/1975 00970 11041 '• 78,600 Yes Improved
Comparable Sales
Method Frontage Depth Units Units Price Land Value
FRONT FOOT 8 DEPTH 59.001 174 00 ` 0 a300.00 ' $18,470
Building Information i
Is Bed/Bath count incorrect? Click Here
p Description Year BuiltActual/Effective Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Ad/ Value Rapt Value Appendages
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=36193054100000580 7/10/2018
SCPA Parcel View: 36-19-30-541-0000-0580 Page Z. of 2
1 • SINGLE 11973 6 1 2 ; - 0 , 1,100, 1,600 1,100 • CB/STUCCO ' 78,687 : $103,536 1 Desaiption AreaFAMILYFINISH
GARAGE 240.001
FINISHED
1
GARAGE 20UNFINISHED ''
OPEN
1 I I I t i 1 I PORCH 60.00iFINISHED
Permits
Permit tt Description Agency Amount CO Date Permit Date
No Penults
Comp 0180 Cuss not otlp4ud pan iM lsmbmh County Propsry Appniwr oloco. For OSWh in, Wmasns perrmmstp psrrrit, plssss contact O,sOtdWhqaspsrtmsnt ofthe to OhMcl In wo#It M propry h Ipu1W.
Extra Features i - --- - i--
i
Description Year Built Units Value New Cost
CARPORT 2 12/1/1973 1 ' 5600 1,500
http://parceidetail.scpafl.org/ParcelDetaillnfo.aspx?PID=36193054100000580 7/10/2018
I agree that, as the party legally and financially responsible for this proposed construction activity, 1 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
004 zoning regulations.
1 am of aware of construction practices and 1 have access to the Florida Building Codes.
1 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. 1 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 1 am the party legally and financially responsible for the proposed construction activity at the address
listed below.
04
1 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
coverage.
Property Address: .2 14 -3 y `%'/'.,..,.o lly-- 1, ,
do hereby state that 1 am qualified and
capable of performing the requested construction involved with the permit application filed and agree to the conditions
specified above. Form
of of
Owner -Builder // Date be
Photo ID) i
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
5
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 1, as the owner of
the property listed, may act as my own contractor with certain restrictions even though I do not have a
G license.
I understand that building permits are not required to be signed by a property owner unless he or she is
v, f
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 1
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 1 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, 1 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 1
n
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. 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.
1 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