112 S Maple Ave 12-2488 (shed)ZLOZ 0 9 d3S
Z-1_
CITY OF SANFORD
BUILDING &FIRE PREVENTION
PERMIT APPLICATION
Application No: cap r Documents Construction Value: $ •.
sue`
,Job Address: � l a S . rn o of t _ AvZ Historic District: Yes ❑ No El
Parcel ID: Zoning:
Description of Work: r- ��e c�1 (Q X Li / s
Plan Review Contact Person: Title:
Phone: `167- 73.3 Fax: E-mail:
Property Owner Information 14
Name I"1f� e: i1%�i(�?� Gk ✓1 :� ��� Phone:
Street:. G��� �.-Resident of property? : 1 �� r
City, State Zip:CL�iI'� �G 1
Contractor Information
Name Phone:
Street: Fax:
City, State Zip: State License No.:
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Phone:
Fax::
E-mail:
Bonding Company: Mortgage Lender:
Address: Address:
PERMIT INFORMATION
Building Permit ❑
Square Footage: Construction Type: No. of Stories:
No. of Dwelling Units: Flood Zone:
Electrical; ❑
New, :Ser'vice - No. of AMPS:
Mechanical ❑, (Duct layout required for new systems)
Plumbing
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm ❑ No. of heads:
00,1
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 pf°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 NOT°ICE 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''plan�review achar' e. 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.
. q-Za-t2
Sig ature o ner/Agen Date Signature or Contractor/Agent Date
Sha ai i2odA(
Print wner/Agent's Name
q 20-- !2
Signature of Notary -State of Florida Date
-yoy;ili;jp�
.
F rsi
oaMY
Owner/Agent is PeiiAilly I iwn t �1
Produced ID Tv IDdQn
APPROVALS: ZO
F SATE OF
�' �" rltil.i` '
ENGINEERING: FIRE:
i COMMENTS:
Rev 11.08
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'. e- 3
Page 1 of 2
SCPA Parcel View: 25-19-30-5AG-0310-0060
tJ rvrc� yvry.,rc.+,,Gr-n Parcel: 25-19-30-5AG-0310-0060
Owner: MONACO MICHEAL S & RODOLPHO SHARIF B
';rrtO+.ECU4tt,i7v r'LCxrtiton, Property Address: 112 S MAPLE AVE SANFORD, FL32771.
< Back < Previous Parcel Next Parcel > Save Layout Reset Layout New Search
Parcel: 25 19 30-SAG-0310-0060 Value Summary
Property Address: 112 S MAPLE AVE
Owner: MONACO MICHEAL S & RODOLPHO SHARIF B
Mailing: 8440 MURRAY CT
SANFORD, FL 32771
Subdivision Name: SANFORD TOWN OF
Tax District: S1-SANFORD
Exemptions:
DOR Use Code: 01-SINGLE FAMILY
J
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4
b 3
i
{a
7
Map Aerial Both Footprint
+ - Extents
Center
Larger Map Dual Map View - External
2012 Working
2011 Certified
Values
Values
Valuation
Cost/Market
Cost/Market
Method
Number of
2
2
Buildings
Depreciated
$52,920
$53,315
Bldg Value
Depreciated
EXFT Value
Land Value
$15,200
$16,800
(Market)
Land Value Ag
lust/Market
$68,120
$70,115
Value **
Portability Adj
,
Save Our Homes
$0
$0
Adj
Amendment 1
$0
$0
Adj
Assessed Value
$68,120
$70,115
Tax Amount without SOH:
S1,397
2011 Tax Bill Amount
S1,397
Tax Estimator
TRIM Notice
Save Our Homes Savings:
$0
* Does NOT INCLUDE Non Ad Valorem
Assessments
Legal Description
LEG ALL LOT 6 & N 19.1 FT OF LOT
7 BLK 3 TR 10 TOWN OF SANFORD PB 1 PG 61
Tax Details
Taxing Authority
Assessment Value
Exempt Values
Taxable Value
County General Fund
$68,120
$0
$68,120
Schools
$68,120
$0
$68,120
City Sanford
$68,120
$0
$68,120
SJWM(SaintJohns Water Management)
$68,120
$0
$68,120
County Bonds
$68,120
$0
$68,120
Sales
Deed
Date
Book
Page Amount
Vac/Imp
Qualified
WARRANTY DEED
0212011
07534
1774 $96,000
Improved
Yes
QUIT CLAIM DEED
1112010
07475
1579 $100
Improved
No
WARRANTY DEED
12/1996
03170
0889 $100
Improved
No
WARRANTY DEED
12/1993
02702
1073 $29,600
Improved
No
QUIT CLAIM DEED
10/1990
02232
1437 $100
Improved
No
QUIT CLAIM DEED
10/1990
02229
1335 $100
Improved
No
QUIT CLAIM DEED
10/1990
02229
1334 S100
Improved
No
WARRANTY DEED
10/1990
02232
1438 $39,000
Improved
Yes
WARRANTY DEED
07/1990
02201
0158 $100
Improved
No
Find Comaarable Sales within this Subdivision
Land
Frontage
Depth Units
Unit Price
Land Value
i
FRONT FOOT
&Method
DEPTH
80
117 - .000
190.00
$1 5,200
http://www.scpafl.org/ParcelDetails.aspx?PID=25-19-30-5AG-0310-0060 9/18/2012
C
G
OWNER BUILDER, STATEMENT/AFFIDAVIT
Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford,
Seminole County, Willer Springs___
r
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 tiave appiiea for
an owner -builder permit under an exemption from the law. The exemption specifies that I, as the owner of
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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
�y \ `�
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
it
'
in l'yearafter the construction,'is cornplete,.the:law will presume that I built or -substantially improved
for sale or lease, which violates this exemption.
X
--- -
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
S.
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
by his her employees while working on my property. My
injuries_ sustained an unlicensed person or or
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 injuriesvto 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 responsible for this proposed construction activity, I will
Sabide
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 t0 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
coverage.
Property Address:
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.
of Owner -Builder
Form of Identification
(Must be Photo'ID)
11-,zo -
Date
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
._.......--