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1002 Cypress Ave 11-660 (re-roof)ttoz g9 83A CITY OF SANFORD -DING & FIRE PREVENTION PERMIT APPLICATION Application No: -- QX Documented Construction Value: $ Job Address: /,06g Pros-s )qW 54i1 �r' Historic District: Yes ❑ No ©/ Parcel ID: '�54 1q - 316' S H 6' lo20 Dam Zoning: Description of Work: �r e - Plan Review Contact Person: Phone: �67-3 /- -70 6 % Fax: E-mail: Property Owner Information Title: Name'qi eaye � 1 T/ Phone: �Y> % - 3 I q % o 6o 7 Street: 119 Resident of property?: 'e s City, State Zip: fi 3 � % / Con7t ctor Information d Name S - Q "�- Phone: L�lS Street: Fax: Lk City, State Zip: �a` State License No.: Name: Street: City, St, Zip: Bonding Company: Address: Building Permit ❑ Square Footage. No. of Dwelling Units: Electrical ❑ New Service - No. of AMPS: Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: L66 No. of Stories: Flood Zone: Mechanical ❑ (Duct layout required for new systems) Plumbing ❑ New Construction - No. of Fixtures: Fire Sprinkler/Alarm 13 No. of heads: 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. 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. 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. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. L. f Si afore of Own Agent r_ I f Date "s Sign of Contractor/ t / Date Print Owner/ ent's Name' /-14 AIJA Si nature o otary- pI oiida Lli: 6'f ;'L OF FL(UBA Tina Miller Commission #DD959569 Expires: SEP. 27, 2013 BONDED THRI; ATLANI 1 C BONDING CO., INC. Print -Col ntr�or/Agent.* Name A a.l i I , Tina Miller `Commission #DD959569 Expires: SEP. 27, 2013 BONDED THRU ATLANTIC BONDING CO., INC. Owner/Agent is Personally Known to Me or Contractor/Agent isAine Pioii-� own to Me o Produced ID Type of IDLJ� ib -[ l�l -1 O 1 ' Produced ID APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 UTILITIES: FIRE: WASTE WATER: BUILDING: �'M p 3 Urux I V E R SAL Jet.. 0F _! G GROUP, INC. Date: Office Phone 407-295-7403 Office Fax 407-295-8288 Toll Free 888-479-1755 www.universalroof.com Roofing License # CCC 057165 WORK AUTHORIZATION Home#: L4 01-- 31 H — (G Work #: Address.- Ore S� A City: C { FL ��- Fax #: The above named people agree to allow Universal Roofing Group, Inc. to perform the work described below. W Date Roof All Damaged areas pertaining to Insurance Claim %JI11VU1001 IlUU1111y V1uup Date 5655 Carder Rd. Orlando, FL 32810 ._j NOTICE OF COMMENCEMENT Permit Number Parcel ID Number (PID)rA " 14% — 5 L�'" J A / Dln R The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance oath 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) t GENERAL DESCRIPTION OF IMPROVEMENT l ,f — �V G'l'a--- OWNER INFORMATION Name and address: (2& f) e S CONTRACTOR Name and address: 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 kb), Florida Statutes. �/ 1 r 1 tU Name and address: tVeySr.:� In addition to himself, Owner Designates To receive a copy of the Lienor's Notice as Section 713.13(1)(b), Florida Statutes. CUNT MORSE II:T. COURT Expiration Date of Notice of Commencement: The expiration date is 1 year from date of recording unless a different date is specified. D CLERK WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OFCOMMENCEMENT ARE CONSIDERED IPROPER PAYMENTS UNDER FEB FLORIDA STATUTES, AND CAN RESULM N YOUR PAYING TWICE ORCHAPTER IMPROVMENTS TO YOUR PR PERTY.IA tl� ®- 2011 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. STAT OF FLORIDA COUNTY OF SEMINOLE OWNER IGNATURE OWNERS RINTED NAME "(NOTE: Per Florida Statute 713.13(1) (g), owner must sign....-. and no one else may be permitted to sign in his or her stead." The foregoing instrument was acknowledged before me this �_ day of f:f_-UJ�l 20 n nt, by 1 ) hi���t� l�� "� ! Lt t Who is personally known o me Na of person making statement OR who has produced identification r l type of identification produced VERIFICATION PURSUANT TO SECTION 92.525, FLORIDA STATUTES. UNDER PENALTIES OF PERJURY, 1 DECLARE THAT 'I"AVE READ THE FOREGOING AND THAT THE FACTS STATED IN IT ARE TRUE T • E BE�STT OF MY KNQW�LE�DG = AND LIEF SIGNATURE OF NATURAL PERSON SIGNING ABOVE NOTARY PUBLIC -STATE OF Tina Mil `-Commission #D Expires SEP. BONDED THRU AV A` 17C BONDI e rinale Cou* Property, A raiser Get Idorntationb Parcel Number -.. //www. or web/re web.semimle co - title arcel=2... PertY PP Y Mtp: _ _ �Y_ P r 6 'D0.YlD JOFtI35(]W S�A.A3d4� H'aFjR e. SE4MIiNOLE Ct7UtdT-Y FL, �\ \ G 110TrE FiRST:ST 9ANF0FL 3Mt•7AG6.'. /� $ ao7-7-a6s-7soe VALUE SUMMARY i i 20111 2010{ VALUES Working 3 Certifled i GENERAL Value Method Cost/Market Cosf/Markef Parcel Id: 25-19-30-5AG-120A-0020 Number of Buildings 1 1 � Owner: LITTLE AGNES K D Depreciated Bldg Value $54,997 $60,719 Mailing Address: 1002 CYPRESS AVE Depreciated EXFT Value $0 —� $0 —' City,State,23pCode: SANFORD FL 32771 --- — Land Value (Market). $12,825 $12,825 Property Address: 1002 CYPRESS AVE SANFORD 32771 Land Value Ag $0 $0 Subdivision Name: SANFORD TOWN OF JustlMarket Value $67,822 $73,544 I Tax District: S1-SANFORD Portablity Adj $01 so - Exemptions: 00-HOMESTEAD (2003) Save Our Homes Adj Save $0 $7891 01-SINGLE FAMILY Amendment 1 Adj $0 $0 — j Assessed Value (SOH)1 $67,822� $72,7551 Tax Estimator r + 2011 TAXABLE VALUE WORKING ESTIMATE Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $67,822 $42,822 $25,000 (Amendment f aa)ustment is not applicable to school assessment) Schools $67,822 $25,000 $42,822 1 — City Sanford $67,8221 $42,822 $25,000 SJWM(Saint Johns Water Management)l ----- $67,822 $42,8221 $25,000 County Bonds $67,8221 $42,822 $25,000 j The taxable values and taxes are calculated using the current years working values and the prior years approved millage rates. SALES �— 2010 VALUE SUMMARY Il Deed Date Book Page Amount Vacllmp Qualified I Tax Amount (without SOH): $686 1 WARRANTY DEED 10/2001 04213 1010 $100 Improved No ! 2010 Tax Bill Amount: $680 WARRANTY DEED 05/1982 01391 1380 $12,000 Improved No Save Our Homes (SOH) Savings: $6 j TAX DEED 01/1975 01049 0454 $620 Improved No 2010 Certified Taxable Value and Taxes DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS Find Comparable Sales vv_ithin this Subdivision LEGAL DESCRIPTION LAND i Land Assess Method Frontage Depth Land Units Unit Price Land Value PLATS:Pick . , FRONT FOOT&DEPTH 57 117 .000 225.00 $12,825 LEG LOT 2 + N 1/2 OF ALLEY ADJ ON S BLK 12 TR A TOWN a OF SANFORD PB 1 PG 56 � _ BUILDING INFORMATION Est. Cost I j Bid Num Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value New 1 { Building 1 SINGLE FAMILY 1970 6 1,344 1,368 1,344 CONC BLOCK $54,997 $69,617� Sketch Appendage / Sgft OPEN PORCH FINISHED / 24 1 NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished, Base Semi Finshed OTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax purposes. 1— If you recently purchased a homesteaded property your next years property tax will be based on Just/Market value. 1 of 1 2/3/2011 2:50 PM POWER OF ATTORNEY I hereby name and appoint Joan Mellick Of Universal Roofing Group, Inc. to be my lawful attorney in fact I. , 4,- i To act for me and apply to theLX Building Department for a Roofing permit for work to Be performed at a location described as: Section: Township: Range: Lot: Block: Subdivision:. 06C9- L' rp ss vc (Address f job) (6vner of property and address) And to sign my name and do all things necessary to this appointment. The foregoing instrument was acknowledged before me this o)- _ a S— �� By Ken Mellick Who is personally know to me/who produced As identification and who did not take an oath. State of Florida County of Orange Commission#: DD959569 My Commission (Notary) September 27, 201327, 2013 Stamp: NOTARY PUBLIC -STATE OF FLORIDA Tir, : Miller Commission #DD959569 Expires: SFP. 27, 2013 BONDED THRU ATLP N; P. BOIT)LNG CO., INC. ECEIVED JAN 2 0 2011 BY: CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: 1 \ . �o (00 Documented Construction Value: $ "2 z-) C) Cb Job Address: 12 LeS Historic District: Yes No ❑ Parcel ID: Zoning: Description of Work: rc'o-r— S Plan Review Contact Person: Title: Phone: Fax: E-mail: Property Owner Information Name AM he 5 Phone: T7 a Street: O R C es Je- Aa — Resident of property? City, State Zip: 5-n:arj, EL 3;?--7:7f Contractor Information Name Phone: Street: Fax: City, State Zip: State License No.: Architect/Engineer Information Name: Phone: Street: City, St, Zip: Bonding Company: Address: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Building Permit ❑ Square Footage: Construction Type: No. of Stories: No. of Dwelling Units: Flood Zone: Electrical ❑ Plumbing ❑ New Service — No. of AMPS: New Construction - No. of Fixtures: Mechanical ❑ (Duct layout required for new systems) Fire Sprinkler/Alarm 13 No. of heads: 7 7 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 anderstaind 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. 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. 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. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. i L2 /;?o Signature of O er/Agent Date Print Ownb Agent's Name Si at re of Notary -State of Florida I Date J0 ANN M. JOHNSON * * MY COMMISSION # DD 761978 EXPIRES: March 23, 2012 OF FIOQ'\O Bonded Thru Budget Notary Bekaa Owner/Agent is Personally Known to Me or Produced ID _� Type of ID F-C tom- L_ APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: 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 WASTE WATER: BUILDING: Rev 11.08 I I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws'aind requiremen'ts that govern owner -builders as well as employers. I also I/ -P 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.!pyflorida.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 V 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 coverage. Property Address:_ 114 02-S L lk A do hereby state that I am qualified el 14 \ and capable of perWrm'ing the requested construction involved with the permit application filed and agree to the conditions specified above. llgol2oll Signature of OwAer-Builder Date Form of Identification (Must be Photo ID) A violation of thi's 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 z 5 C C i a ELIO] C OWNER BUILDER STAT9MENT/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 'l K— 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 a 1t' 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 Seminole County Property Appraiser Get Information by Parcel Number Page I of I PAR-CE.M. NAIL to 8.B 8 DAva)JoHHsoN, CFA,ABA E 10THST I?N PROPELL1TY A'PP#k !9tR "t �I 1.0 N Q W A 7 ] v 5 �M y icy' � sl 3EMINOLE 120.A 1101'E. Flrtsr sT 3 LU a 1208 SAHFORD. FL32771-1468 m 4.0 a - 9 ; ' > r 407-6W506 10 VALUE SUMMARY 2011 2010 VALUES Working Certified GENERAL Value Method Cost/Market Cost/Market Parcel Id: 25-19-30-5AG-120A-0020 Number of Buildings Owner: LITTLE AGNES K D Depreciated Bldg Value $56,983 $60,719 Mailing Address: 1002 CYPRESS AVE Depreciated EXFT Value $0 $0 City,State,ZipCode: SANFORD FL 32771 Land Value (Market) $12,825 $12,825 Property Address: 1002 CYPRESS AVE SANFORD 32771 Land Value Ag $0 $0 Subdivision Name: SANFORD TOWN OF Just/Market Value $69,808 $73,544 Tax District: S1-SANFORD Portability Adj $0 $0 Exemptions: 00-HOMESTEAD (2003) Save Our Homes Adj $0 $789 Don 01-SINGLE FAMILY Amendment 1 Adj $0 $0 Assessed Value (SOH) $69,808 $72,755 Tax Estimator 2011 TAXABLE VALUE WORKING ESTIMATE Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $69,808 $44,808 $25,000 (Amendment 1 adjustment is not applicable to school assessment) Schools $69,808 $25,000 $44,808 City Sanford $69,808 $44.808 $25,000 SJWM(Saint Johns Water Management) $69,808 $44,808 $25,000 County Bonds $69,808 : $44,8081 $25,000 The taxable values and taxes are calculated using the current years working values and the prior years approved millage rates. SALES 2010 VALUE SUMMARY Deed Date Book Page Amount Vaclimp Qualified Tax Amount (without SOH): $686 WARRANTY DEED 10/2001 04213 1010 $100 Improved No 2010 Tax Bill Amount: $680 WARRANTY DEED 05/1982 01391 1380 $12,000 Improved No Save Our Homes (SOH) Savings: $6 TAX DEED 01/1975 01049 0454 $620 Improved No 2010 Certified Taxable Value and Taxes Find Comparable Sales within this Subdivision DOES NOT INCLUDE NON-AD.VALOREM ASSESSMENTS LEGAL DESCRIPTION LAND Land Assess Method Frontage Depth, Land Units Unit Price Land Value PLATS Pick 'El FRONT FOOT & DEPTH 57 117 .000 225.00 $12,825 LEG LOT 2 + N 112 OF ALLEY ADJ ON S BLK 12 TR A TOWN OF SANFORD PB 1 PG 56 BUILDING INFORMATION Bid Num Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. New Cost Building 1 SINGLE FAMILY 1970 6 1,344 1,368 1,344 CONC BLOCK$56,983 $72,130 Sketch Appendage / Sgft OPEN PORCH FINISHED / 24 NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished, Base Semi Finshed 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 your nekt ear's property tax will be based on JuWMarket value: http://www. sepafl.org/web/re_web. seminole_county_title?parcel=Z5193 05AG 12OA0O2O&... 1 /20/2011 rt