2420 S Holly Ave - BR08-001106 - REROOFCITY OF SANFORD PERMIT APPLICATION
Applictation #. ' ' O(p
Job Address: f/e—, /
Parcel ID: Zoning:
Submittal Date:C
Value of Work: $ ? 7d 0 nT
Historic District:
Description of Work: / Square Footage:
Permit Type: Building [0 Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Sign
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole 0
Mechanical: Residential Non -Residential Replacement '_ New (Duct Layout & Energy Cale. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential Commercial
Occupancy Type: Residential ffWaCommercial Industrial Occupancy Use Group(s): Construction
Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required) j..........................................................................................
Property
Owner: t
Contractor:
Address: `` %
e' Address: Phone
U7 ) 70L'25i /E-mail:,t(/nl Phone: State License Number: Bonding
Company: Mortgage Lender: Address:
Architect/
Engineer: Address:
Address:
Plan
Review Contact Person: At Q e- V&" Phone: ((X-Z ax: Phone:
Fax:
E-
mail: 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 apermit and that all work will be performed to meet standards of all lawsregulating 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. Acce
arc of p t is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. a
i
atu o r%eft ate Signature of Contractor/Agent Date Signature
of Notary -State of F ida Owner/
Agentz nally ProducedI
o APPROVALS:
ZONIN6-,Q;U; Special
Conditions: / /I/ Rev
07.07 Print
Contractor/Agent''s Name Signature
of Notary -State of Florida Date o.
y1e Contractor/Agent is _ Personally Known to Me or Produced
ID 3
0 b......,
r
1
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
FSS 489.103 Disclosure Statement
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 $75,000. 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 supervision 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.
BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement)
I UNDERSTAND AND AGREE TO THE EXEMPTION PROVISIONS OF FLORIDA STATUTES 489.103
AS LISTED ABOVE.
I HAVE ACCESS TO THE ADOPTED CODES.
I AM FAMILIAR WITH THE CODE PROVISIONS.
1 HAVE ADEQUATE KNOWLEDGE AND QUALIFICATIONS TO SAFELY PERFORM AND DIRECTLY
SUPERVISE THE WORK.
THIS PROPERTY IS NOT AN APARTMENT, CONDOMINIUM OR RENTAL PROPERTY.
THIS STRUCTURE IS NOT BEING BUILT WITH MY INTENTION TO SELL, RENT, OR LEASE.
I UNDERSTAND THAT THERE IS NOT STATED A TIME FRAME TO SELL, RENT OR LEASE AN
OWNER BUILDER STRUCTURE WITHOUT BEING INVESTIGATED.
I UNDERSTAND THAT FOR ANY UN -LICENSED PERSON I HIRE, I MUST DEDUCT F.I.C.A.,
WITHHOLDING TAX, AND PROVIDE, WORKERS'COP#PENSATION INSURANCE.
Propert Addr s: `J
I, O AL_ 6 , do hereby state that I am qualified and capable of
performin t requested construction involved with the permit application filed.
0ANot.1141TI11lt a
ALA
Si natur Ile• c Date
tr d
Form of Identification
Must be;Pt toD}
ice.rii
A violation of this exemption is a misdemea Ab the first d gic punishable by a term of imprisonment not
exceeding 1 year and a $1,000.00 fine in a j"'n,,,_cy, citl enalties. In addition, the local permitting
jurisdiction shall withhold final approval, revokrthgfper tt;mursue any action or remedy for unlicensed
activity against the owner and any person performing work that requires licensure under the permit issued.
Rev. 4/20/07)
I Sem ;hole County Property Appraiser Get Information by Parcel Number Page 1 of 2
n9.
DAYID JOHNSON, CrA, ASA m
PROPERTY
APPRAISER
SEMINOLE COUNTY FL.
13 .
r
1101 E. FIRST sT
SANFORD, FL32771-1468
407-665-7506
AW f!
2008 WORKING VALUE SUMMARY
Atrienament 1 impact not retlectea.
GENERAL Value Method: Market
Parcel Id: 36-19-30-524-1200-0110 Number of Buildings: 1
Owner: REID MYRIEL A Depreciated Bldg Value: $71,270
Mailing Address: 2420 S HOLLY AVE Depreciated EXFT Value: $192
City,State,ZipCode: SANFORD FL 32771 Land Value (Market): $47,040
Property Address: 2420 HOLLY AVE SANFORD 32771 Land Value Ag: $0
Subdivision Name: DREAMWOLD 3RD SEC Just/Market Value: $118,502
Tax District: S1-SANFORD Assessed Value (SOH): $118,502
Exemptions: Exempt Value: $0
Dor: 01-SINGLE FAMILY Taxable Value: $118,502
Tax Estimator
Portability Calculator
SALES
Deed Date Book Page Amount Vaclimp Qualified 2007 VALUE SUMMARY
WARRANTY DEED 12/2007 06895 1822 $100,000 Improved Yes 2007 Tax Bill Amount: $2,305
WARRANTY DEED 06/2000 03869 1339 $63,900 Improved Yes 2007 Taxable Value: $123,524
TRUSTEE DEED 05/1998 03426 0906 $100 Improved No DOES NOT INCLUDE NON -AD VALOREM
QUIT CLAIM DEED 03/1996 03051 0882 $100 Improved No ASSESSMENTS
Find Comparable Sales within this Subdivision
LAND LEGAL DESCRIPTION
Land Assess Method Frontage Depth Land Unit Land PLATS: Pick... Units Price Value
FRONT FOOT & 120 136 000 40000 $47040
LEG LOTS 11 + 12 BLK 12 3RD SEC
DEPTH DREAMWOLD PB 4 PG 70
BUILDING INFORMATION
Bid Bid Type
Year
Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost
NewNumBit
Building 1 SINGLE 1954 3 881 2,004 1,259 CONC $71,270 $109,646
Sketch FAMILY BLOCK
Appendage / Sgft OPEN PORCH FINISHED / 36
Appendage / Sgft OPEN PORCH UNFINISHED / 55
Appendage / Sgft UTILITY UNFINISHED / 654
Appendage / Sgft ENCLOSED PORCH FINISHED / 378
NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment,
Enclosed Porch Finished,Base Semi Finshed
Permits
re_web. Seminole_county_title?parcel=36193052412000110&cpad=holly&cpad_num=2420(3/ 11 /2008
t a
RE: Permit # 0 ` I i b
Inspection Affidavit
qv,licensed as a(n) Contractor* /Engineer/Architect,
please p t name and circle Lic. Type) FS 468 Building Inspector*
License #;
On or about _ ` , I did personally inspect the roof
Date & time)
deck nailing and/or secondary water barrier work at s` S ( A),,"
circle one) (Job Site Address)
Based upon that examination I have determined the installation was done according to the
Hurri ane Mi ' do - trofit Manual (Based on 553.844 F.S.) ignat
STATE
OF FLORIDA COUNTY
OF Sworn
to and subscribed before me this jUday of A) A i3 C. . 200- By .
i e Notary
Public, Sta of Florida 0 '. "
4—' Print,
type or stamp name) Commission
Personally
known or ,,1 1 t rrNj Produced
Identification 4o A `I e ///, Type
of identification produced. D General,
Building, Residential, or Roofing Contractor or any indiv inspection.
Include photographs of each plane of the roof with the pe deck
for each inspection. such
an ked
on the