801 E 20 St - BR08-001053 (reroof) documentsRECEIVED
CITY OF SANFORD PERMIT APPLICATION
Applicati n # : ®&
trJob,Address• L Q Q ) S Parcel
ID: Submittal
Date: MAR
0 5. 2008 Value -
of Work: $[ / .3 Historic
District: Description
of Work: li` E' `rC3 `t l'--s-Q JISA t "10 teS c-Square Footage: Q—zro C) 0............
1....... 1J...................0.............................. Permit
Type: Building {" Electrical Mechanical Plumbing , Fire Sprinkler/Alarm Pool Sign 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 Commercial Occupancy
Type: Residential Commercial Industrial Occupancy Use Group(s): Construction
Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required ) flr
Property Owner•lr i (•V.Contractor: Address:
S }1_Address: S
a, e IV-7 Z^7' ^T Phone:
q0`7*525 7 7 i G E-mail: a u`'S h mtJ + C 'hone: State License Number: Bonding
Company: Address:
Architect/
Engineer: Address:
Plan
Review Contact Person: Mortgage
Lender: Address:
Phone:
Fax: 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 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 permitisverification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. Signature o40wr/
Agent Date Signature of Contractor/Agent Date P Owner/
A rtn s e Print Contractor/Agent's Name 3 ae
rgnature of
Notary -State of Florida Date Signature of Notary -State of Florida Date a!\1141
i I I P fill>r l t; .' .
Owner/ ` 7ltersonally- .
no;vA lode or Contractor/Agent is _Personally Known to Me or Prodme [) — _ Produced
ID ro 7 7
APPROVALS: ZOi
sl(i` UIj FD: ENG: BLDG: Special Conditions:
Rev 07.
07
f ,
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, 1 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.
3 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.
3
I UNDERSTAND THAT THERE IS NOT STATED A TIME FRAME TO SELL, RENT OR LEASE AN
OWNER BUILDER STRUCTURE WITHOUT BEING INVESTIGATED.
n I UNDERSTAND THAT FOR ANY UN -LICENSED PERSON 1 HIRE, 1 MUST DEDUCT F.I.C.A.,
WITHHOLDING TAX, AND PROVIDE WORKERS' COMPENSATION INSURANCE.
Property Address: y \ ` S 5 ° " L- 7
4'\ 0 do hereby state that I am qualified and capable of
performing the r quested construction involved with the permit application filed.
r
Signature ate
Form of Identification EL It e R -1 s
Must be Photo ID) _
A violation of this exemption is a misdemeanor of theig cFgg#ec flun ishabliy a term of imprisonment not
exceeding 1 year and a $1,000.00 fine in addition to ivia`pe'. ti sti7r ddition, the local permitting
jurisdiction shall withhold final approval, revoke the pert' °4 Pursr et an'action or remedy for unlicensed
activity against the owner and any person performing wort'reuir-yicensure under the permit issued.
Rev. 4/20/07)
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 2
PARCEL DETAIL
DAvin JoHHsori; CFA, ASA
P GPyER l
AOP19 iJ`'i31SER
SEMINOLE,. UNTYFL
t 101 E. FR2S IST
SANFORD, FL 32? 71-146B
407-.65577508
2008 WORKING VALUE SUMMARY
Amendment 1 impact not reflected.
GENERAL Value Method: Market
Parcel Id: 31-19-31-512-0000-0260 Number of Buildings: 1
Owner: BURNS PHILIP C & JACKIE M Depreciated Bldg Value: $117,978
Mailing Address: 801 E 20TH ST Depreciated EXFT Value: $0
City,State,ZipCode: SANFORD FL 32771 Land Value (Market): $29,873 .
Property Address: 801 20TH ST E SANFORD 32771 Land Value Ag: $0
Subdivision Name: MAGNOLIA HEIGHTS Just/Market Value: $147,851
Tax District: S1-SANFORD Assessed Value (SOH): $122,678
Exemptions: 00-HOMESTEAD (2005) Exempt Value: $25,000
Dor: 01-SINGLE FAMILY Taxable Value: $97,678
Tax Estimator
Portability Calculator
SALES
Deed Date Book Page Amount Vac/Imp Qualified
WARRANTY DEED 07/2004 05402 1495 $142,000 Improved Yes .
2007 VALUE SUMMARY
Improved
ADMINISTRATIVE
05/2004 05304 0578 $100 Im d No
DEED p Tax Amount(without SOH): $2,434
PROBATE RECORDS 12/2003 05139 0473 $100- Improved No 2007 Tax Bill Amount: $1,756
WARRANTY DEED 12/1997 03341 1104 $60,000 Improved Yes Save Our Homes (SOH) Savings: $678
QUIT CLAIM DEED 03/1992 02407 0033 $100 Improved No 2007 Taxable Value: $94,105
WARRANTY DEED 0211989 02043 0737 $100 Improved No DOES NOT INCLUDE NON -AD VALOREM
ASSESSMENTS
WARRANTY DEED 04/1987 01851 0253 $42,000 Improved Yes
QUIT CLAIM DEED 03/1987 01851 0251 $100 Improved No
Find Comparable Sales within this Subdivision
LAND
LEGAL DESCRIPTION
Land Assess Method DepthFrontage
Land Unit Land
g p Units Price Value PLATS: Pick... Ell 37
FRONT FOOT &
71 141 .000 425.00 $29,873 LEG LOT 26 MAGNOLIA HEIGHTS PB 5 PG 76
DEPTH
BUILDING INFORMATION
Bid Year Base Gross Living Est. Cost
Num
Bid Type
Bit
Fixtures SF SF SF New
Wall Bid Value
New ,
Building 1
SINGLE 1947 6 480 2,168 1,584 CB/WD/SDNG $117,978 $163,859
Sketch FAMILY COMBO
Appendage /Sgft BASE/192
Appendage / Sgft GARAGE UNFINISHED / 224
Appendage / Sgft UTILITY UNFINISHED / 360
Appendage / Sgft BASE / 336
Appendage / Sgft UPPER STORY FINISHED / 576
NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment,
Enclosed Porch Finished,Base Semi Finshed
http://www.scpafl.org/web/re web.seminole_county_title?parcel=3119315120000026O&cp... 3/5/2008
ran 7'gg
i 11 't
RE: Permit # 02 J 3
Inspection Affidavit
licensed as a(n) Contractor* /Engineer/Architect,
please print name and circle Lic. Type) FS 468 Building Inspector*
License #;
On or about I did personally inspect the roo
Date & time)
deck nailinz and/or secondary water barrier work at 17--: Q 1 J S
circle one) (Job Site Address)
4
Based upon that examination I have determined the installation was done according to the
Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S.)
Signature
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this $day of
By 1-nos
Notary Public, State of F
Print, type or stamp name)
Commission No.:
Personally known or
Produced Identification
Type of identification produced. F L. L.
General, Building, Residential, or Roofing Contractor or any individual certified under 468 F.S. to make such an
inspection. Include photographs of each plane of the roof with the permit # or address # clearly shown marked on the
deck for each inspection.